[1]苏洪英,郑延波,卢再鸣,等.介入诊疗后并发两种不同类型肺栓塞的诊断与治疗[J].介入放射学杂志,2008,(01):55.
　SU Hongying,ZHENG Yanbo,LU Zaiming,et al.The diagnosis and treatment of two kinds of pulmonary embolism complications after interventional therapy[J].journal interventional radiology,2008,(01):55.
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介入诊疗后并发两种不同类型肺栓塞的诊断与治疗()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年01期
页码:
55
栏目:
临床研究
出版日期:
2008-01-15

文章信息/Info

Title:
The diagnosis and treatment of two kinds of pulmonary embolism complications after interventional therapy
作者:
苏洪英; 郑延波; 卢再鸣; 等
１１０００１沈阳中国医科大学附属第一医院放射科（苏洪英、肖亮、钟红珊、徐克）；山东烟台毓磺顶医院介入治疗科（郑延波）；中国医科大学附属盛京医院放射科（卢再鸣）
Author(s):
SU Hong－ying; ZHENG Yan－bo; LU Zai－ming; XIAO Liang; ZHONG Hong－shan; XU Ke
The First Affiliated Hospital of China Medical University，Shenyang１１０００１，China
关键词:
介入诊疗; 并发症; 肺栓塞
分类号:
R５６３.５
文献标志码:
B
摘要:
目的总结介入诊疗后严重并发症肺栓塞的类型、临床表现、治疗方法及预后的差异，以提高介入医师对此严重并发症的认识。方法收集３所医院１９９８－２００５年介入诊疗过程中所遇到的少见并发症肺栓塞病例，按照栓塞物不同分为碘油肺栓塞和血栓肺栓塞两种类型，就每种类型的临床特点及诊治经验加以总结。结果３所医院临床诊断介入诊疗后肺栓塞１０例，其中肺血栓栓塞５例，肺碘油栓塞５例。５例肺血栓栓塞患者表现为次日离床活动后突发性呼吸困难伴晕厥，２例死亡，３例经抗休克及局部溶栓治疗痊愈或好转。５例碘油肺栓塞患者表现为术后１～３d出现渐近性呼吸困难，无休克表现，经以给氧为主的综合治疗１５～５０d症状消失。结论肺栓塞是介入诊疗后的急重并发症，无深静脉血栓史患者也可发生急性血栓性肺栓塞，维持有效循环和溶栓治疗是有效疗法。碘油肺栓塞起病慢，治疗以保证供氧为主，肺内碘油可在１个月左右完全清除消失。肺增强CT对两者的诊断和鉴别诊断有重要意义。

参考文献/References:

［１］Adachi T，Nakabayashi M，Takeda Y．Management of venous thrombosis and pulmonary embolism after gynecological surgery［J］．Semin Thromb Hemost，１９９８，２４：４３７－４４２．
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［６］Chung JW，Park JH，Han JK，et al．Hepatic tumors predispos－ing factors for complication of transcatheter oily chemoembolization［J］．Radiology，１９９６，１９８：３３－４０．
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备注/Memo

备注/Memo:
收稿日期：２００７－０９－１８
更新日期/Last Update: 2008-01-15