利伐沙班成功治疗急性主动脉夹层合并肺栓塞一例报道  

Successful Treatment of Acute Aortic Dissection Complicated with Pulmonary Embolism with Rivaroxaban:a Case Report

作　　者：陈仕锋 欧焕珍 朱敏敏 卿斌 肖波[1] 曾超 CHEN Shifeng;OU Huanzhen;ZHU Minmin;QING Bin;XIAO Bo;ZENG Chao(Department of Respiratory and Critical Care Medicine,Hospital of PLA Unit 31661,Guangzhou 510318,China;Department of Neurology,Hospital of PLA Unit 31661,Guangzhou 510318,China)

机构地区：[1]中国人民解放军31661部队医院呼吸与危重症医学科,广东省广州市510318 [2]中国人民解放军31661部队医院神经内科,广东省广州市510318

出　　处：《实用心脑肺血管病杂志》2022年第5期117-121,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：广东省医学科学技术研究基金项目(A2021098)。

摘　　要：主动脉夹层、肺栓塞均是危及人们身体健康和生命的临床急症。急性主动脉夹层合并肺栓塞较少见,且目前国内外指南并无相关治疗建议,导致该类患者的临床治疗存在争议。本文报道了利伐沙班成功治疗1例急性主动脉夹层合并肺栓塞患者的诊治经过,以期为该类患者的诊疗提供参考。Aortic dissection and pulmonary embolism(PE)are medical emergencies that endanger people's health and life.Acute aortic dissection(AAD)complicated with PE is rare,and there are no relevant treatment suggestions in domestic and foreign guidelines at present.Hence,the clinical treatment of these patients is controversial.In this paper,we present diagnosis and treatment process of a patient with AAD complicated with PE who was successfully treated by rivaroxaban,in order to provide reference for the diagnosis and treatment of these patients.

关 键 词：急性主动脉夹层 肺栓塞 抗凝治疗 利伐沙班 病例报告 

分 类 号：R563.5[医药卫生—呼吸系统]