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[肺栓塞]

[Pulmonary embolism].

作者信息

Hecker M, Sommer N, Hecker A, Bandorski D, Weigand M A, Krombach G A, Mayer E, Walmrath D

机构信息

Medizinische Klinik II, Universitätsklinikum Gießen und Marburg, Standort Gießen, Klinikstraße 33, 35392, Gießen, Deutschland.

Klinik für Allgemein-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Gießen und Marburg, Standort Gießen, Gießen, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2016 Mar;111(2):163-75; quiz 176-7. doi: 10.1007/s00063-015-0114-z. Epub 2015 Nov 30.

Abstract

Pulmonary embolism is a potentially fatal disorder and frequently seen in critical care and emergency medicine. Due to a high mortality rate within the first few hours, the accurate initiation of rational diagnostic pathways in patients with suspected pulmonary embolism and timely consecutive treatment is essential. In this review, the current European guidelines on the diagnosis and therapy of acute pulmonary embolism are presented. Special focus is put on a structured patient management based on the individual risk of early mortality. In particular risk assessment and new risk-adjusted treatment recommendations are presented and discussed in this article.

摘要

肺栓塞是一种潜在的致命性疾病,在重症监护和急诊医学中很常见。由于在最初几个小时内死亡率很高,因此对疑似肺栓塞患者准确启动合理的诊断途径并及时进行后续治疗至关重要。在这篇综述中,介绍了当前欧洲关于急性肺栓塞诊断和治疗的指南。特别关注基于早期死亡个体风险的结构化患者管理。本文特别介绍并讨论了风险评估和新的风险调整治疗建议。

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