术后发生重症肺栓塞的急诊导管及导丝碎栓治疗  

Emergency pulmonary arteriography and interventional therapy in patients with postoperative severe pulmonary embolism

作　　者：王乐民[1] 魏林[2] 孙政育[2] 李晓光[2] 刘雅君[2] 

机构地区：[1]同济大学附属同济医院心内科,上海200065 [2]哈尔滨医科大学第四临床医学院心内科

出　　处：《上海医学》2003年第11期834-835,共2页Shanghai Medical Journal

摘　　要：目的　探讨急诊导管、导丝治疗术后重症肺栓塞的可行性。方法　 6例术后发生急性重症肺栓塞患者均采用肺动脉造影及导管、导丝碎栓术。结果　 6例患者经造影证实其肺动脉内均有大块状血栓栓塞 ,经导管、导丝碎栓治疗后 ,5例患者痊愈。结论　通过急诊肺动脉造影和直接导管介入治疗 ,可使术后大面积肺栓塞患者的血流动力学迅速得到改善 。Objective To appraise the emergency treatment of patients with postoperative acute pulmonary embolism by catheter and guide wire treatments. Methods Six patients were performed emergency pulmonary arteriography and interventional therapy by catheter and guide wire. Results Emboli in pulmonary arteries were confirmed by pulmonary arteriography in all 6 cases, of whom, 5 were cured by interventional therapy. Conclusion Emergency pulmonary arteriography and interventional therapy can promptly restore the hemodynamics and rapidly ameliorate the clinical symptoms.

关 键 词：术后并发症 重症肺栓塞 急诊 导管碎栓术 导丝碎栓术 治疗 血流动力学 

分 类 号：R563.5[医药卫生—呼吸系统]