急性重症肺栓塞患者溶栓的疗效观察  

Observation on the Therapeutic Effect of Thrombolysis in Patients with Acute Severe Pulmonary Embolism

作　　者：薄晓霞[1] 刘颖[1] 刘丽菲[1] 

机构地区：[1]内蒙古包头医学院第三附属医院呼吸科,内蒙古包头014030

出　　处：《临床医药文献电子杂志》2016年第15期2909-2909,2912,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨溶栓治疗急性重症肺栓塞患者的临床疗效。方法对51例急性重症肺栓塞患者采用阿替普酶溶栓治疗。结果 51例患者溶栓治疗的总有效率为92.16%。呼吸频率、心率、D-二聚体、N端脑钠肽溶栓后低于溶栓前,收缩压、舒张压、血氧饱和度、动脉血氧分压溶栓后高于溶栓前(P<0.05)。结论阿替普酶溶栓治疗急性重症肺栓塞效果显著,且不良反应小,值得推广。Objective To investigate the clinical efficacy of thrombolytic therapy in patients with acute severe pulmonary embolism. Methods The effective rate was 92.16% among 51 cases. Breathing rate, heart rate, D-Dimer, NT-pro BNP after thrombolysis was lower than before, the level in SBP,SDP, Sa O2, Pa O2 after thrombolysis was higher than before（P〈0.05）. Conclusion Clinical efficacy of thrombolysis in patients with acute severe pulmonary embolism is good,with mild side effects.

关 键 词：急性肺栓塞 静脉溶栓 阿替普酶 

分 类 号：R563.5[医药卫生—呼吸系统]