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重症患者肺栓塞 - 预防,诊断和管理
Charikleia S Vrettou1, Effrosyni Dima1, Ioanna Sigala1
1First Department of Critical Care Medicine, Evangelismos Hospital, Medical School, National & Kapodistrian University of Athens, 10676 Athens, Greece.
Diagnostics (Basel, Switzerland)
|October 16, 2024
概括
在重症监护室 (ICU) 的重症患者面临深静脉血栓塞 (DVT) 和肺栓塞 (PE) 的高风险. 本综述为管理在ICU中获得的PE提供了实际指导,解决了当前指导方针中的差距.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 血管医学 血管医学
背景情况:
- 危急病患在ICU中经常被固定和机械通风,增加他们患血栓栓塞性疾病的风险,如深静脉血栓塞 (DVT) 和肺栓塞 (PE).
- 虽然DVT和PE很常见,但它们在ICU中的管理存在独特的挑战,与急诊室的演示不同.
- 目前关于PE管理的指导方针通常是针对急诊室患者而设计的,可能无法完全解决ICU获得的PE的复杂性.
研究的目的:
- 审查和总结关于预防,诊断和治疗肺栓塞 (PE) 的当前数据,在危急病情的ICU患者.
- 为管理在重症监护室环境中获得的PE的临床医生提供实用方法.
- 突出ICU获得的PE不同于在其他环境中管理的PE的特定挑战和考虑.
主要方法:
- 对现有研究和指导方针的文献综述,涉及重症患者的血栓栓塞性疾病.
- 综合了数据,重点是预防策略,诊断方式和治疗措施,以治疗PE在ICU.
- 分析了在ICU获得的PE与在急诊部出现的PE相比,PE的独特方面.
主要成果:
- 在ICU患者中,不运动和机械呼吸显著增加了DVT和PE的风险.
- 现有的PE指南可能无法充分涵盖ICU获得的血栓栓塞事件管理的细微差别.
- 为了在ICU环境中有效预防,诊断和治疗PE,需要采取量身定制的方法.
结论:
- 肺栓塞是重症病患在ICU中的重要问题,需要具体的管理策略.
- 本综述为解决ICU获得的PE复杂性的问题提供了实际框架,弥合了当前临床指南中的差距.
- 临床医生在管理患有PE风险或被诊断患有PE的患者时,应考虑独特的ICU环境.
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