相关实验视频
Updated: Jun 7, 2025

07:44
A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
306
[肺栓塞后综合征:2024年文献综述]
Nicolas Coquoz1, Benoit Lechartier2, Patrick Yerly3
1Service de pneumologie, Centre hospitalier du Valais romand, Hôpital du Valais, 1951 Sion.
Revue medicale suisse
|November 15, 2024
概括
肺栓塞后综合征 (PPES) 在治疗后引起运动不耐受. 识别慢性血栓栓塞性肺部疾病是管理持续症状的关键,如呼吸障碍在高达20%的患者.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 血管医学 血管医学
背景情况:
- 肺栓塞后综合征 (PPES) 具有特点,在急性肺栓塞 (PE) 和标准抗凝药后,持续的运动性呼吸不全或运动不耐受.
- 潜在的病因包括慢性血栓栓塞性肺病 (CTEPD).
- 尽管接受治疗,但很大一部分患者 (高达20%) 仍然表现出症状.
研究的目的:
- 为了定义肺栓塞后综合征.
- 概述PPES的诊断工作.
- 强调识别潜在病态对于特定管理的重要性.
主要方法:
- 专门的诊断工作,包括心声回声和肺部扫描.
- 慢性血栓栓塞性肺高血压 (CTEPH) 的概率的推断.
- 在必要时考虑进行侵入性调查.
主要成果:
- 心声和肺部扫描对于评估PE后持续症状至关重要.
- 确定CTEPH对于指导特定治疗策略至关重要.
- 即使没有CTEPH,运动性呼吸障碍仍然存在于显著比例的患者中.
结论:
- 肺栓塞后综合征需要一个结构化的诊断方法.
- 早期发现慢性血栓栓塞性肺高血压对于患者的治疗结果至关重要.
- 需要进一步的研究,以确定最佳的管理策略,以治疗PE后持续性劳动性呼吸障碍患者,不论肺高血压.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
86
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
86
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Radiological Investigation II: MRI and Ventilation Perfusion Scan
100
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
100
Acute Respiratory Failure-II
174
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
174
Pneumonia III: Complications and Assessment
170
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
170
Pneumothorax-II
120
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
120

