Bĕlohlávek Jan, Dytrych Vladimír, Linhart Aleš
2nd Department of Medicine, Department of Cardiovascular Medicine, General University Hospital and 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Exp Clin Cardiol. 2013 Spring;18(2):139-47.
Acute pulmonary embolism (PE) bears a significant burden on health and survival. Rapid and accurate risk stratification and management are of paramount importance to ensure the highest quality of care. This present article summarizes currently available and emerging management strategies for the disease. The authors not only review current evidence regarding early therapy of acute PE, including supportive care, anticoagulation, thrombolysis, surgical and catheter-based treatment, but also the possible role of mechanical circulatory support in PE. The authors also discuss complications related to PE and its management.
急性肺栓塞(PE)给健康和生存带来了沉重负担。快速准确的风险分层和管理对于确保最高质量的护理至关重要。本文总结了目前可用的和新出现的该疾病管理策略。作者不仅回顾了关于急性PE早期治疗的现有证据,包括支持性护理、抗凝、溶栓、手术和基于导管的治疗,还探讨了机械循环支持在PE中的可能作用。作者还讨论了与PE及其管理相关的并发症。