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肺栓塞的医学管理:超越抗凝治疗

Medical Management of Pulmonary Embolism: Beyond Anticoagulation.

作者信息

Hsu Nancy, Wang Tisha, Friedman Oren, Barjaktarevic Igor

机构信息

Division of Pulmonary and Critical Care, David Geffen School of Medicine at UCLA, Los Angeles, CA.

Division of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA.

出版信息

Tech Vasc Interv Radiol. 2017 Sep;20(3):152-161. doi: 10.1053/j.tvir.2017.07.004. Epub 2017 Jul 5.

Abstract

Pulmonary embolism (PE) is a common medical condition that carries significant morbidity and mortality. Although diagnosis, anticoagulation, and interventional clot-burden reduction strategies represent the focus of clinical research and care in PE, appropriate risk stratification and supportive care are crucial to ensure good outcomes. In this chapter, we will discuss the medical management of PE from the time of presentation to discharge, focusing on the critical care of acute right ventricular failure, anticoagulation of special patient populations, and appropriate follow-up testing after acute PE.

摘要

肺栓塞(PE)是一种常见的医学病症,具有较高的发病率和死亡率。尽管诊断、抗凝以及降低血栓负荷的介入策略是肺栓塞临床研究和治疗的重点,但恰当的风险分层和支持性治疗对于确保良好预后至关重要。在本章中,我们将讨论从就诊到出院期间肺栓塞的医学管理,重点关注急性右心室衰竭的重症监护、特殊患者群体的抗凝治疗以及急性肺栓塞后的适当随访检查。

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