[1]周卫忠,施海彬,杨正强,等.介入螺旋电吸式祛栓术治疗急性大面积肺梗死[J].介入放射学杂志,2009,(07):488.
　ZHOU Weizhong,SHI Haibin,YANG Zhengqiang,et al.Rotational power－driven aspiration thrombectomy by using Straub Rotarex system for the treatment of acute massive pulmonary embolism[J].journal interventional radiology,2009,(07):488.
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介入螺旋电吸式祛栓术治疗急性大面积肺梗死()

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

卷:
期数:
2009年07期
页码:
488
栏目:
血管介入
出版日期:
2009-07-15

文章信息/Info

Title:
Rotational power－driven aspiration thrombectomy by using Straub Rotarex system for the treatment of acute massive pulmonary embolism
作者:
周卫忠; 施海彬; 杨正强; 等
２１００２９南京医科大学第一附属医院放射科
Author(s):
ZHOU Wei－zhong; SHI Hai－bin; YANG Zheng－qiang; LIU Sheng; ZHOU Chun－gao; ZHAO Lin－bo; XIA Jin－guo; LI Lin－sun．
Department of Radiology，the First Hospital to Affiliated，Nanjing Medical University，Nanjing２１００２９，China
关键词:
血栓清除术; 肺栓塞; 介入治疗
分类号:
R５４３.２
文献标志码:
A
摘要:
目的评价用Straub螺旋电吸式祛栓术治疗急性大面积肺梗死的疗效和安全性。方法５例患者经CT和肺动脉造影确诊为大面积肺血管栓塞。所有患者均有急性肺梗死的症状。采用Straub Rotarex对５例患者进行了经皮机械祛栓，１例使用了辅助局部溶栓。结果所有患者在技术上和临床症状改善上均取得了成功。机械祛栓后患者的平均肺动脉压从（４１．８±７．９）mmHg 降低至（３０．７±８．５）mmHg （P＜０．０１），动脉血氧分压（PaO ２ ）从（５６．６±９．３）mmHg 增加至（８５．８±５．０）mmHg （P＜０．０１）。血氧饱和度（SaO ２ ）从（７９．０±４．３％）升至术后的（９２．８±３．５）％（P＜０．０１）。结论初步经验显示Straub螺旋电吸式祛栓术在急性大面积肺梗死治疗中具有较好的安全性与疗效。

参考文献/References:

［１］Giuntini C，DiRicco G，Marini C，et al．Pulmonary embolism：epidemiology［J］．Chest，１９９５，１０７（Suppl ）：S３－S９．
［２］Oger E．Incidence of venous thromboembolism in a community－based study in western France［J］．Thromb Haemost，２０００，８３：６５７－６６０．
［３］Kasper W，Ko

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备注/Memo

备注/Memo:
收稿日期：２００９－０３－１２
基金项目：江苏省“科教兴卫工程”重点医学人才项目（RC２００７０５２）
更新日期/Last Update: 2009-07-15