[1]张学彬 吕维富 孙一兵 汪世存 张正峰 英伟萍 厉月琴.经皮介入碎栓及溶栓治疗大面积肺栓塞[J].介入放射学杂志,2005,(01):39.
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经皮介入碎栓及溶栓治疗大面积肺栓塞()

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

卷:
期数:
2005年01期
页码:
39
栏目:
血管介入
出版日期:
1900-01-01

文章信息/Info

Title:
Percutaneous interventional fragmentation and thrombolysis for massive pulmonary embolism
作者:
张学彬 吕维富 孙一兵 汪世存 张正峰 英伟萍 厉月琴
230001,合肥,安徽医科大学附属安徽省立医院影像介入科
关键词:
栓塞; 肺 放射学; 介入性 碎栓; 机械性 溶栓
摘要:
目的总结经皮介入碎栓联合局部灌注尿激酶加全身溶栓治疗大面积肺栓塞疗效及安全性.探讨其适应证.方法经DSA确诊并行介入治疗肺栓塞患者5例.采用普通造影导管及导丝行介入碎栓.4例联合局部灌注加全身应用尿激酶,总量20万～140万U,低分子肝素应用10～15 d,口服华法林3～6个月.1例因有咯血未用溶栓剂及抗凝.疗效评价包括临床症状、肺动脉压测定、Miller指数、血氧分压、D-二聚体等.结果所有患者均获显著临床症状改善.技术成功率100%.肺动脉平均压从(29±3)mmHg下降至(16±8)mmHg,治疗后

参考文献/References:

Dalen J E Pulmonary embolism: What have we learned since virchow?Natural History, Pathophysiology, and Diagnosis 2002
De Gregorio MA.Gimeno MJ.Mainar A Mechanical and enzymatic thrombolysis for massive pulmonary embolism 2002
Schmitz-Rode T.Jansse

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更新日期/Last Update: 1900-01-01