相关实验视频
Updated: Sep 10, 2025

07:44
A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
529
对急性和慢性肺栓塞的开放性手术治疗
Jonathan W Haft1, Gardner Yost1
1Cardiothoracic Surgery, University of Michigan, 1500 East Medical Center Drive 5144 CVC, Ann Arbor, MI 48109-5864, USA.
Cardiac electrophysiology clinics
|August 20, 2025
概括
肺栓塞 (PE) 可能导致慢性血栓栓塞性肺高血压 (CTEPH). 对于CTEPH的治疗通常涉及开放的肺内关节切除术,而急性PE在某些情况下可以通过开放的栓塞切除术来治疗.
科学领域:
- 心血管医学 心血管医学
- 肺部医学 肺部医学
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 急性肺栓塞 (PE) 是美国死亡和发病的一个重要原因.
- 慢性血栓栓塞性肺高血压 (CTEPH) 是PE的潜在后果,患病率有所增加.
- 目前对CTEPH的治疗主要涉及开放的肺内关节切除术.
研究的目的:
- 审查CTEPH和急性PE的治疗方式.
- 要突出开放性肺内关节切除术在CTEPH管理中的作用.
- 讨论急性PE的开放栓切术的应用.
主要方法:
- 关于PE和CTEPH治疗的文献综述.
- 对肺内关节切除术的手术技术的分析.
- 在急性PE中对开放栓切除术的指示的评估.
主要成果:
- 开放性肺内关节切除术是CTEPH的标准治疗方法,涉及到广泛的肺动脉重建.
- 在特定患者群体中,急性PE可以通过开放式栓塞切除术来管理.
- 这两种手术都需要专门的外科专业知识,并且在低温循环停止下进行.
结论:
- 治疗CTEPH严重依赖于手术,主要是肺内关节切除术.
- 开放式栓塞切除术为急性PE的特定病例提供了治疗选择.
- 了解这些程序的细微差别对于优化患者的治疗结果至关重要.
相关概念视频
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
44
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
44
Pulmonary Embolism III: Nursing Management
38
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
38
Pulmonary Embolism I: Introduction
45
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
45
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Pneumothorax-II
355
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:
355
Flail Chest-II
234
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
234

