西藏高原地区急性中高危肺栓塞患者溶栓治疗的临床启示  

Clinical implications of thrombolytic therapy for patients with acute intermediate-high risk pulmonary embolism in Tibet plateau,China

作　　者：杨丽 罗霖 张云桃 史丹丹 次卓嘎 小巴桑 杨苏乔[2] Yang Li;Luo Lin;Zhang Yuntao;Shi Dandan;Ci Zhuoga;Xiao Basang;Yang Suqiao(Department of Respiratory and Critical Care Medicine,Lhasa People′s Hospital,Lhasa Tibet,850000,China;Department of Pulmonary and Critical Care Medicine,Beijing Chao-Yang Hospital,Capital Medical University,Beijing Institute of Respiratory Medicine,Beijing 100020,China)

机构地区：[1]拉萨市人民医院呼吸与危重症医学科,拉萨850000 [2]首都医科大学附属北京朝阳医院呼吸与危重症医学科、北京呼吸疾病研究所,北京100020

出　　处：《中华结核和呼吸杂志》2023年第9期924-929,共6页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：国家自然科学基金(81900047);全国肺栓塞与深静脉血栓形成防治能力建设科研项目(Y096);北京市医院管理中心“青苗”计划专项经费(QML20210306);西藏自治区自然科学基金重点项目(XZ202301ZR0052G)。

摘　　要：目前关于西藏高原地区急性肺栓塞患者系统性溶栓治疗的临床研究及病例报道非常少见,对于高原地区中高危急性肺栓塞患者的危险因素、临床特点和溶栓治疗等认识较少,缺乏临床经验。本文通过报道拉萨市人民医院收治的4例急性中高危肺栓塞溶栓治疗患者的病例资料,分析其人口学特点、临床特征、治疗和转归,总结临床现象,提出科学问题,为提升高原地区急性肺栓塞的规范化诊治水平提供基础数据,为今后开展此方面的临床研究指明方向。At present,clinical studies and case reports of systemic thrombolytic therapy for patients with acute pulmonary embolism in Tibet Plateau are very rare.There is little understanding of the risk factors,clinical characteristics,and thrombolytic therapy for patients with acute pulmonary embolism at intermediate-high risk in Tibet Plateau.In this paper,we reported the data of 4 patients with acute intermediate-high risk pulmonary embolism treated with thrombolytic therapy in Lhasa People′s Hospital.The demographic characteristics,clinical manifestations,treatment,and outcomes were analyzed.We summarized the clinical features and raised scientific issues.We aimed to provide basic data to improve the standardized diagnosis and treatment of acute pulmonary embolism in plateau,and to point out the direction of future clinical research in this field.

关 键 词：溶栓治疗 临床现象 急性肺栓塞 拉萨市人民医院 病例报道 病例资料 危险因素 高原地区 

分 类 号：R563.5[医药卫生—呼吸系统]