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肺栓塞后综合征-一个诊断困境和具有挑战性的管理挑战
Kajal P Shah1, Christopher Lee2, Robert D McBane3
1Section of Cardiovascular Medicine, Heart and Vascular Center, Dartmouth Hitchcock Medical Center, Lebanon, NH.
Mayo Clinic proceedings
|November 9, 2024
概括
肺栓塞 (PE) 幸存者经常经历长期损伤,这种情况被称为后PE综合征. 本综述强调了其未被认可的影响,并讨论了受影响患者的诊断和管理策略.
科学领域:
- 肺部医学 肺部医学
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 肺栓塞 (PE) 管理传统上侧重于短期结果.
- 长期的功能障碍影响高达50%的PE幸存者.
- 这种慢性后果被称为后PE综合征.
研究的目的:
- 提高对PE后综合征的认识.
- 审查后PE综合征的流行病学,病理生理学和临床特征.
- 概述PE后综合征的诊断和管理策略.
主要方法:
- 文献综述专注于PE后综合征.
- 讨论流行病学数据.
- 综合当前对病理生理学和临床表现的理解.
主要成果:
- 后PE综合征表现为持续或恶化的症状,功能限制和心肺呼吸系统损伤.
- 诊断和管理具有挑战性,并且经常被忽视.
- 描述了整个综合征谱的成像发现和治疗选择.
结论:
- 后PE综合征是PE幸存者的一个显著的,未被认可的疾病.
- 提高认识和标准化管理至关重要.
- 本综述提供了一个全面的概述,以指导临床实践.
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