肺血栓栓塞症诊疗进展  

Diagnosis and treatment progress of pulmonary thromboembolism

作　　者：李建东 郭山峰 周涛 苗青海 邵泽锋 LI Jiandong;GUO Shanfeng;ZHOU Tao;MIAO Qinghai;SHAO Zefeng(Department of Interventional Medicine,Jiangsu Province Hospital of Chinese Medicine,Affiliated Hospital of Nanjing Universtity of Chinese Medicine,Nanjing,Jiangsu 210029,China;不详)

机构地区：[1]南京中医药大学附属医院江苏省中医院介入医学科,江苏南京210029 [2]南通大学杏林学院附属南京江北医院介入医学科,江苏南京210048

出　　处：《中国临床研究》2025年第2期169-172,185,共5页Chinese Journal of Clinical Research

基　　金：江苏省卫生健康委员会科研项目(BJ14012);江苏省中医院人才引进项目(kgr0259);皖南医学院科研项目(JXYY202133)。

摘　　要：肺血栓栓塞症(PTE)是肺栓塞最常见的一种类型。过去由于诊断技术的落后以及临床医生对于PTE的认识不足,且PTE的发病症状往往缺乏特异性,常会导致漏诊、误诊。而有时就算及时诊断PTE,由于医生治疗手段和经验的匮乏,患者常不能得到及时有效的救治,导致预后较差,病死率较高。近些年来,随着PTE诊疗方案不断规范化,病死率呈现明显的下降趋势。因此,本文对近期国内外对于PTE的诊疗进展进行总结。Pulmonary thromboembolism(PTE)is one of the most common types of pulmonary embolism.In the past,due to the backward diagnostic technology and the lack of understanding of clinicians about PTE,and the lack of specificity of PTE symptoms,it often led to missed diagnosis and misdiagnosis.Sometimes,even if PTE is diagnosed in time,due to the lack of treatment means and experience of doctors,patients often cannot get timely and effective treatment,resulting in poor prognosis and high fatality rate.In recent years,with the continuous standardization of PTE diagnosis and treatment protocols,the fatality rate has shown an obvious downward trend.Therefore,this article summarizes the recent progress in the diagnosis and treatment of PTE at home and abroad.

关 键 词：肺血栓栓塞症 D-二聚体 肺动脉造影 抗凝治疗 溶栓治疗 机械血栓减容 腔静脉滤器 

分 类 号：R543.5[医药卫生—心血管疾病]