Huisman M V, Montero Cabezas J M, Klok F A
Leids Universitair Medisch Centrum, Leiden.
Ned Tijdschr Geneeskd. 2017;161:D1570.
Adequate triaging of patients presenting with acute pulmonary embolism (PE) is essential for appropriate treatment, especially for patients with severe PE. Optimal treatment for this latter group of patients includes pharmaco-mechanical reperfusion treatment for the minority of patients who present with haemodynamic instability, and standard anticoagulation and close monitoring on the ward for the intermediate-high risk patient. In the USA, pulmonary embolism response teams (PERT) have been introduced to coordinate triaging of these patients. We discuss the potential role of PERT teams in Dutch hospitals. The main advantage of PERT could be a uniform management strategy that is supported by a multidisciplinary team including all key specialists in the treatment of severe PE.
对急性肺栓塞(PE)患者进行充分分诊对于恰当治疗至关重要,尤其是对重症PE患者而言。对后一组患者的最佳治疗包括对少数出现血流动力学不稳定的患者进行药物机械性再灌注治疗,以及对中高危患者在病房进行标准抗凝治疗和密切监测。在美国,已引入肺栓塞反应小组(PERT)来协调对这些患者的分诊。我们讨论了PERT小组在荷兰医院中的潜在作用。PERT的主要优势可能是一种统一的管理策略,该策略得到了一个多学科团队的支持,该团队包括治疗重症PE的所有关键专家。