肺栓塞后慢性右心功能不全的研究进展  

Research progress of long-term right ventricular dysfunction after acute pulmonary embolism

作　　者：包文慧 纪昊仪 郭靖兰 施熠炜[2] Bao Wenhui;Ji Haoyi;Guo Jinglan;Shi Yiwei(The First Medical College,Shanxi Medical University,Department of Respiratory and Critical Care Medicine,the First Hospital of Shanxi Medical University,NHC Key laboratory of Pneumoconiosis,Shanxi Key Laboratory Respiratory Disease,Taiyuan 030001,China;Department of Respiratory and Critical Care Medicine,the First Hospital of Shanxi Medical University,NHC Key laboratory of Pneumoconiosis,Shanxi Key Laboratory Respiratory Disease,Taiyuan 030001,China)

机构地区：[1]山西医科大学第一临床医学院、国家卫健委尘肺病重点实验室、呼吸疾病防治山西省重点实验室、山西医科大学第一医院呼吸与危重症医学科,太原030001 [2]国家卫健委尘肺病重点实验室、呼吸疾病防治山西省重点实验室、山西医科大学第一医院呼吸与危重症医学科,太原030001

出　　处：《中华结核和呼吸杂志》2024年第12期1198-1204,共7页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：急性肺血栓栓塞症(PTE)致死率高。尽管大多数患者在急性期经过及时治疗干预后能够恢复,但仍有部分患者可能存在慢性右心功能不全(RVD),影响患者的生存质量及远期预后。深入探究急性PTE后慢性RVD的影响因素、诊治方案与管理策略,对于优化PTE患者的长期管理及改善预后具有至关重要的意义。本文就急性PTE后慢性RVD的流行病学、影响因素、评估方法、管理及预后等方面的研究进展展开综述。Acute pulmonary thromboembolism(PTE)is a disease with a high mortality rate.Although most patients can recover after timely treatment and intervention during the acute phase,some patients may still have long-term right ventricular dysfunction(RVD),which affects the quality of life and long-term prognosis.A comprehensive understanding of the factors,diagnosis and treatment and management of persistent RVD after acute PTE is crucial for optimizing long-term management for PTE patients and improving their prognosis.This article reviews recent advances in the epidemiology,factors,evaluation,management and prognosis of persistent RVD after acute PTE.

关 键 词：右心功能不全 治疗干预 诊治方案 肺栓塞 流行病学 远期预后 改善预后 生存质量 

分 类 号：R563.5[医药卫生—呼吸系统] R541[医药卫生—内科学]