中危肺栓塞：当代诊断、风险分层和管理的综述。

Intermediate-Risk Pulmonary Embolism: A Review of Contemporary Diagnosis, Risk Stratification and Management.

机构信息

Department of Medicine, Creighton University School of Medicine, Omaha, NE 68124, USA.

Department of Medicine, Danbury Hospital/Yale University School of Medicine, Danbury, CT 06810, USA.

出版信息

Medicina (Kaunas). 2022 Aug 30;58(9):1186. doi: 10.3390/medicina58091186.

DOI:10.3390/medicina58091186

PMID:36143863

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9504600/

Abstract

Pulmonary embolism (PE) can have a wide range of hemodynamic effects, from asymptomatic to a life-threatening medical emergency. Pulmonary embolism (PE) is associated with high mortality and requires careful risk stratification for individualized management. PE is divided into three risk categories: low risk, intermediate-risk, and high risk. In terms of initial therapeutic choice and long-term management, intermediate-risk (or submassive) PE remains the most challenging subtype. The definitions, classifications, risk stratification, and management options of intermediate-risk PE are discussed in this review.

摘要

肺栓塞（PE）可产生广泛的血流动力学效应，从无症状到危及生命的医疗急症。肺栓塞（PE）与高死亡率相关，需要仔细进行危险分层以进行个体化管理。PE 分为低危、中危和高危三类。在初始治疗选择和长期管理方面，中危（或亚大块）PE 仍然是最具挑战性的亚型。本文讨论了中危 PE 的定义、分类、危险分层和管理选择。