Bleyn J, Haenen L
Acta Chir Belg. 1986 Mar-Apr;86(2):106-8.
Acute pulmonary embolism with major hemodynamic derangement may be treated by thrombolysis or surgically by direct pulmonary embolectomy under cardiopulmonary bypass or by a transvenous method with a steerable aspiration catheter unit. The key to success in massive pulmonary embolism is a quick and correct diagnosis while the vital haemodynamic parameters are maintained by supportive means.
伴有严重血流动力学紊乱的急性肺栓塞可通过溶栓治疗,或在体外循环下通过直接肺动脉血栓切除术进行手术治疗,或采用可操纵的抽吸导管装置经静脉方法治疗。大面积肺栓塞成功治疗的关键在于快速、正确的诊断,同时通过支持手段维持重要的血流动力学参数。