[1]候学智,黄强.急性肺血栓栓塞症介入治疗现状[J].介入放射学杂志,2024,33(09):1027-1033.
HOU Xuezhi,HUANG Qiang.Current status of interventional therapy for acute pulmonary thromboembolism[J].journal interventional radiology,2024,33(09):1027-1033.
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急性肺血栓栓塞症介入治疗现状()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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33
- 期数:
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2024年09
- 页码:
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1027-1033
- 栏目:
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综述
- 出版日期:
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2024-09-17
文章信息/Info
- Title:
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Current status of interventional therapy for acute pulmonary thromboembolism
- 作者:
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候学智; 黄强
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- Author(s):
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HOU Xuezhi; HUANG Qiang
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Qinghai Provincial People′s Hospital,Xining,Qinghai Province 810000,China
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- 关键词:
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【关键词】急性肺血栓栓塞症; 危险分层; 导管定向溶栓; 导管血栓清除术
- 文献标志码:
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A
- 摘要:
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【摘要】急性肺血栓栓塞症(pulmonary thromboembolism,PTE)的危险分层是治疗的导向,针对不同的危险分层采取相应的治疗方案。抗凝治疗是急性PTE治疗的基石,但单纯抗凝治疗与中、高危人群中早期血流动力学失代偿和死亡的风险增加相关;系统溶栓能够快速减轻血栓负荷,缓解右心室功能障碍,可以更早地改善血流动力学,但存在出血的高风险。目前,导管介入治疗正在迅速发展,并发展出了不少与之匹配的装置,旨在更好地完善急性PTE治疗方案,以满足肺栓塞治疗的临床需求。该文虽未对其临床相关应用优势展开对照研究,但是却基于危险分层的治疗思路,对机械性血栓清除装置、吸入性血栓清除装置、裂解性血栓清除装置等不同类型进行了综述,并论述其在各自应用范围内的优势及发展趋势,旨在为当前学术研究进行系统性总结。
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备注/Memo
- 备注/Memo:
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(收稿日期:2023-09-13)
(本文编辑:茹实)
更新日期/Last Update:
2024-09-16