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目的探讨合理的影像学诊断和介入治疗对急性肺动脉栓塞患者的临床价值。方法对29例急性肺动脉栓塞患者采用 CT 肺血管成像、肺动脉造影及导管碎栓、导管溶栓,以诊断和治疗肺动脉栓塞。结果 29例患者中28例 CT 检查有阳性表现,所有患者均成功插管至肺动脉。介入治疗后临床症状明显改善,其中9例置入下腔静脉滤器,并发脑出血并死亡1例。结论CT 肺血管成像、肺动脉造影、经导管栓子除祛术和下腔静脉滤器置入术是诊断、治疗和预防急性肺动脉栓塞安全、迅速、有效的方法。
Objective To investigate the clinical value of reasonable imaging diagnosis and interventional treatment in patients with acute pulmonary embolism. Methods Twenty-nine patients with acute pulmonary embolism were diagnosed and treated with pulmonary embolism by CT pulmonary angiography, pulmonary angiography, catheter thrombolysis and catheterization. Results Twenty-eight of the 29 patients had a positive CT scan. All patients were successfully intubated to the pulmonary artery. Clinical symptoms improved significantly after interventional treatment, of which 9 cases were placed in inferior vena cava filter, with cerebral hemorrhage and death in 1 case. Conclusion CT pulmonary angiography, pulmonary angiography, catheter embolectomy and inferior vena cava filter placement are safe, rapid and effective methods for the diagnosis, treatment and prevention of acute pulmonary embolism.