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重症监护病房中的肺栓塞。

Pulmonary Embolism in Intensive Care Unit.

机构信息

Department of Medicine, Division of Pulmonary and Critical Care, Jefferson University Hospital, Korman Lung Institute, 834 Walnut Street, Suite 650, Philadelphia, PA 19107, USA.

Department of Medicine, Division of Pulmonary and Critical Care, Jefferson University Hospital, Korman Lung Institute, 834 Walnut Street, Suite 650, Philadelphia, PA 19107, USA.

出版信息

Crit Care Clin. 2020 Jul;36(3):427-435. doi: 10.1016/j.ccc.2020.02.001. Epub 2020 May 11.

Abstract

Management of pulmonary embolism (PE) has become more complex due to the expanded role of catheter-based therapies, surgical thrombectomies, and cardiac assist technologies, such as right ventricular assist devices and extracorporeal support. Due to the heterogeneity of PE, a multidisciplinary team approach is necessary. The manifestation of PE response teams are in response to this complex need and similar to the proliferation of stroke, trauma, and rapid response teams. Intensive care units are an ideal location for formulating a comprehensive treatment plan that necessitates an interaction between multiple specialties. This article addresses the unique needs of critically ill patients with PE.

摘要

由于导管介入治疗、外科血栓切除术以及心脏辅助技术(如右心室辅助设备和体外生命支持)的应用不断扩展,肺栓塞(PE)的管理变得更加复杂。由于 PE 的异质性,需要采用多学科团队的方法。PE 反应团队的表现是为了应对这种复杂性需求,类似于中风、创伤和快速反应团队的激增。重症监护病房是制定综合治疗计划的理想场所,需要多个专业之间的互动。本文讨论了重症 PE 患者的独特需求。

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