相关实验视频
Updated: Jan 16, 2026

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A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
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创伤中的肺动脉血栓:不像以前认为的那样致命
Jack Carlson1,2,3, Upuli Pahalawatta4, Madeleine Hinwood2,3
1Department of Traumatology, John Hunter Hospital, Newcastle, Australia.
World journal of surgery
|September 30, 2025
概括
肺动脉血栓形成 (PAT) 在创伤患者中很常见,与呼吸衰竭和休克有关. 在创伤扫描中早期识别PAT对于患者的治疗结果至关重要.
科学领域:
- 创伤护理的护理人员.
- 心血管放射学 心血管放射学
- 关键护理医学 关键护理医学
背景情况:
- 肺栓塞 (PE) 是多创伤的已知并发症.
- 患有创伤的患者可能会由于凝血病和内膜病变而发生现场肺动脉血栓形成 (PAT).
- 住院时PAT的临床意义尚不清楚.
研究的目的:
- 描述创伤患者中PAT的发病率,风险因素和临床结果.
- 为了确定是否在入院时需要PAT需要特殊的临床注意.
主要方法:
- 在2019年接受1级创伤中心治疗的597名患者的回顾性研究.
- 放射科医生审查了初始创伤扫描的肺血栓.
- 在初始扫描中定义PAT为凝块,在怀疑PE时,在CTPA上定义PE为凝块.
主要成果:
- 16.2%的患者患有肺血栓,15.5%患有PAT,0.7%患有PE.
- PAT与上肢和身体外部区域AIS分数相关.
- PAT与呈现时的冲击 (低血压,乳酸盐升高) 和早期呼吸衰竭相关.
结论:
- 创伤后PAT经常在初始成像中被识别出来.
- PAT与早期呼吸衰竭,休克和四肢创伤有关.
- PAT与整体伤害严重程度,死亡率或ICU入院无关.
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