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[肺栓塞] 肺栓塞是什么情况
Lukas Hobohm1,2, Karsten Keller1,2,3, Stavros Konstantinides1
1Centrum für Thrombose und Hämostase, Universitätsmedizin Mainz, Mainz, Deutschland.
Zeitschrift fur Herz-, Thorax- und Gefasschirurgie
|June 7, 2023
概括
肺栓塞 (PE) 的发生率正在上升,但死亡率正在下降. 诊断工具,如临床概率得分和D-二次体测试,有助于避免不必要的CT扫描,指导风险适应的治疗和后期护理,以获得更好的患者结果.
科学领域:
- 心血管医学 心血管医学
- 肺部病理学 肺部病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 肺栓塞 (PE) 是一种常见的心血管疾病,发病率增加但死亡率下降.
- 诊断工具的进步允许更准确地排除急性PE,减少不必要的计算机断层扫描 (CT) 扫描,即使在孕妇中.
- 右心室评估对于定制治疗策略至关重要.
研究的目的:
- 审查目前用于肺栓塞管理的国际指南.
- 提供临床案例示例和关于PE治疗和后期护理的批判性讨论.
- 总结基于证据的建议,以适应风险的PE治疗.
主要方法:
- 对肺栓塞国际指导方针的系统审查.
- 对诊断策略的分析,包括临床概率得分和D-二次体测试.
- 讨论治疗选择:抗凝血,再注射疗法 (血栓溶解,导管辅助,手术),以及治疗后的护理.
主要成果:
- 诊断途径的优化减少了在PE诊断中需要CT扫描的需要.
- 使用右心室评估进行风险分层,为治疗决策提供信息.
- 治疗包括抗凝血,再注射疗法,以及为长期检测后果的勤奋后护.
结论:
- 目前的指导方针支持风险适应的肺栓塞管理方法.
- 有效的诊断和治疗,包括适当的后期护理,是改善患者结果和减少PE相关的发病率和死亡率的关键.
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