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|本期目录/Table of Contents|

与心血管介入术相关的急性肺栓塞的临床分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2006年第6期
页码:
697-698，701
栏目:
临床研究
出版日期:
2006-12-25

文章信息/Info

Title:
Clinical analysis of pulmonary embolism related to cardiovascular intervention
作者:
蔡丽华;  苏唏;  陈国洪
武汉亚洲心脏病医院，湖北 武汉 430022
Author(s):
CAI Li-hua;  SU Xi;  CHEN Guo-hong
Wuhan Asia Heart Hospital, Wuhan，Hubei 430022, China
关键词:
肺栓塞; 急性; 心血管介入术
Keywords:
cardiovascular intervention;  pulmonary embolism; acute
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的 分析心血管介入术后发生急性肺栓塞的临床特点和危险因素，提出预防和处理的措施。方法 结合我院发生的两例介入术后急性肺栓塞患者，回顾分析了1998～2004年国内文献资料报道的同类病例，共30 例患者。统计介入手术项目、肺栓塞临床表现、实验室检查方法、治疗及治疗后效果等。 结果 冠状动脉造影术后的急性肺栓塞13例，经皮冠状动脉腔内成形术及支架术后7例，射频消融术后9例，冠脉造影+射频消融术后1例，主要临床表现为呼吸困难、心跳加快、胸痛、咳嗽、晕厥、咯血和低血压。大部分患者并发有下肢深静脉血栓形成，部分患者下肢静脉曲张病史。检查手段包括心电图、心脏超声、胸片、动脉血气、D2聚体、放射性核素显像检查、肺动脉造影、肺动脉磁共振（或增强CT）等。死亡3例。结论 心血管介入术后并发急性肺栓塞病情重而危急，尽早诊断、尽早治疗可挽救患者生命，并应加强预防措施。
Abstract:
AIM To analyse the clinical and risk factor of acute pulmonary embolism after cardiovascular intervention and to find out methods of treatment and prevention. METHODS Thirty cases of all acute pulmonary embolism after cardiovascular intervention were included in the study, two of whom were from our hospital and others were from previously reported cases during 1998～2004 in China. We analysed the types of intervention, clinical characteristics, laboratory examinations, and treatment and the effects. RESULTS Thirteen cases had acute pulmonary embolism after coronary arteriography（CAG）, 7 cases after percutaneous coronary intervention（PTCA+STENT）and 9 cases after radiofrequency catheter ablation（RFCA）. Only one case was after CAG+RFCA. The diagnosis was based on the results from examination by DDimers, ECG, ultrocardiogrophy, leg vein Doppler, perfusion lung scanning and selective pulmonary angiography, CT and MRI. Three cases died. CONCLUSION The risk rate of acute pulmonary embolism after cardiovascular intervention is higher. Effective measures should be taken to prevent it.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2005-06-16.作者简介：蔡丽华，副主任医师 Tel：（027）63221675
更新日期/Last Update: