Volodos' N L, Lodianaia I N, Karpovich I P, Troian V I, Bogdan V N
Vestn Khir Im I I Grek. 1986 Aug;137(8):3-9.
The tactics of treatment and diagnosis used in 130 patients with embolism of the pulmonary artery (EPA) are discussed. All of them were examined by angiopulmonography including the method of selective contrast. Angiographic symptoms of EPA were found in 90 patients. The authors propose a clinical classification of EPA based on the state of central hemodynamics. Fifty nine of the 90 patients with EPA were treated by thrombolytic drugs (streptase, avelysin, streptolyase). Good effects were noted in 79%, which was confirmed by control angiopulmonography. Twenty patients were given heparin therapy. Embolectomy from the pulmonary artery was fulfilled in 14 patients (15,6%) by various techniques. Lethality was 42,8%. General lethality was 20%.
讨论了130例肺动脉栓塞（EPA）患者的治疗和诊断策略。所有患者均接受了包括选择性造影法在内的肺血管造影检查。90例患者发现了EPA的血管造影症状。作者基于中心血流动力学状态提出了EPA的临床分类。90例EPA患者中有59例接受了溶栓药物（链激酶、阿维溶素、链道酶）治疗。79%的患者效果良好，这通过对照肺血管造影得到了证实。20例患者接受了肝素治疗。14例患者（15.6%）采用各种技术进行了肺动脉栓子切除术。致死率为42.8%。总致死率为20%。
