Mishalov V G, Kostylev M V, Makarenko A I, Smorzhevskiĭ V I, Smirnov S V
Vrach Delo. 1990 Sep(9):36-9.
Clinical symptomatology, ECG, roentgenography, echocardiography, blood biochemistry, angiopulmonography with manometry of the pulmonary artery and right heart compartments were used to diagnose in 14 patients (age: 25-65 years) massive and submassive pulmonary artery thromboembolism. The angiopulmonographic index exceeded 18 points. Treatment included embolectomy, medical therapy (heparine, indirect anticoagulants), thrombolytic agents (celiase) and symptomatic therapy. The results of medical treatment were good in 80% of patients. Good results in embolectomy were observed in 77.7%. The authors formulate absolute and relative indications to urgent embolectomy in conditions of artificial circulation.
采用临床症状学、心电图、X线摄影、超声心动图、血液生化检查、肺动脉及右心腔测压的肺血管造影术，对14例（年龄25 - 65岁）大面积和次大面积肺动脉血栓栓塞患者进行诊断。肺血管造影指数超过18分。治疗方法包括栓子切除术、药物治疗（肝素、间接抗凝剂）、溶栓剂（纤溶酶）及对症治疗。80%的患者药物治疗效果良好。栓子切除术的良好效果见于77.7%的患者。作者制定了在人工循环条件下紧急栓子切除术的绝对和相对适应证。
