永久性和临时性腔静脉过滤器在辅助治疗静脉血栓中的应用  

Permanent and Temporary Vena Cave Filter for the Treatment of Vanous Thrombus

作　　者：陈宦君[1] 李丽云[1] 万立人 赵晋齐 姜玮 姚晓辉 

机构地区：[1]云南省昆明市延安医院放射科,650051

出　　处：《中国医学影像学杂志》2001年第6期428-430,共3页Chinese Journal of Medical Imaging

摘　　要：目的 :探讨腔静脉滤器置入在外周静脉血栓患者溶栓治疗中预防异位栓塞的应用价值。材料和方法 :7例下肢静脉血栓及 1例永存动脉干合并右颈内静脉血栓的患者 ,分别经静脉置入永久性腔静脉滤器或临时性腔静脉滤器后 ,用大量尿激酶顺行或全身静脉溶栓治疗。结果 :8例患者经 10～ 15天治疗后症状消失 ,血栓完全或部分溶解 ,血管开通 ,未出现并发症及异位栓塞。结论 :置入腔静脉滤器在外周静脉血栓患者溶栓治疗中是预防静脉血栓脱落导致异位栓塞的有效方法。Purpose: To study the value of the vena cava filter in the prevention of ectopic embolism in cases with thrombololytic therapy of vanous thrombus. Materials and Methods: Of 8 cases, 7 patients suffured from venous thrombus of lower limb and 1 case of thrombus of right internal jugular vein with persistent truneus arteriosus were inserted permanent or temporary of the vena cava filter via median vein. Results: In all 8 case, there was control f symptoms following this treatment by 10 to 15 days and thrombus were completely or partly dissoluted. There were no complication and ectopic thrombus related to thrombololytic therapy and the blood vessels remained open. Conclusion: Our observation indicated that permanent or temporary vena Cava filter is safe and effective to prevent ectopic embolism in thrombolytic therapy of vanous thrombus.

关 键 词：腔静脉 滤器 溶栓治疗 静脉血栓 

分 类 号：R543.6[医药卫生—心血管疾病]