肺栓塞分诊：何时做什么。
Pulmonary Embolism Triage: When to Do What.
机构信息
Department of Cardiovascular Surgery, Houston Methodist, The Woodlands, Texas, US.
出版信息
Methodist Debakey Cardiovasc J. 2024 May 16;20(3):65-67. doi: 10.14797/mdcvj.1394. eCollection 2024.
Abstract
Anticoagulation has been the standard therapy for treating pulmonary embolism. However, newly developed pharmacological and interventional treatment options have been shown to provide benefit for certain patient populations, depending on how they present. This column highlights the use of massive pulmonary embolism risk stratification in determining the presence of cor pulmonale and offers several key points to remember when caring for patients with a pulmonary embolism.
摘要
抗凝一直是治疗肺栓塞的标准疗法。然而，新开发的药理学和介入治疗选择已被证明可为某些患者群体提供益处，具体取决于他们的表现。本专栏重点介绍了使用大规模肺栓塞风险分层来确定肺心病的存在，并提供了在护理肺栓塞患者时需要记住的几个要点。
相似文献
1
Pulmonary Embolism Triage: When to Do What.肺栓塞分诊：何时做什么。
Methodist Debakey Cardiovasc J. 2024 May 16;20(3):65-67. doi: 10.14797/mdcvj.1394. eCollection 2024.
2
Intervention Versus Medical Management of Pulmonary Embolism.介入治疗与肺栓塞的药物治疗。
Methodist Debakey Cardiovasc J. 2024 May 16;20(3):13-18. doi: 10.14797/mdcvj.1351. eCollection 2024.
3
Contemporary Management of Acute Pulmonary Embolism.急性肺栓塞的当代管理。
Semin Thorac Cardiovasc Surg. 2020;32(3):396-403. doi: 10.1053/j.semtcvs.2020.04.002. Epub 2020 Apr 28.
4
From Trendelenburg to PERTs: Evolution in the Management of Massive Pulmonary Embolism.从特伦德伦伯格到 PERTs：大块肺栓塞治疗方法的演变。
Methodist Debakey Cardiovasc J. 2024 May 16;20(3):19-26. doi: 10.14797/mdcvj.1345. eCollection 2024.
5
Predictors of Treatment Response Following Ultrasound-Facilitated Catheter-Directed Thrombolysis for Submassive and Massive Pulmonary Embolism: A SEATTLE II Substudy.超声引导导管溶栓治疗亚大块和大块肺栓塞的治疗反应预测因素：西雅图 II 亚研究。
Circ Cardiovasc Interv. 2020 Jun;13(6):e008747. doi: 10.1161/CIRCINTERVENTIONS.119.008747. Epub 2020 Jun 10.
6
Pulmonary embolism: whom to discharge and whom to thrombolyze?肺栓塞：应该出院还是溶栓？
J Thromb Haemost. 2015 Jun;13 Suppl 1:S252-8. doi: 10.1111/jth.12944.
7
Medical Management of Pulmonary Embolism: Beyond Anticoagulation.肺栓塞的医学管理：超越抗凝治疗
Tech Vasc Interv Radiol. 2017 Sep;20(3):152-161. doi: 10.1053/j.tvir.2017.07.004. Epub 2017 Jul 5.
8
Should thrombolysis have a greater role in the management of pulmonary embolism?溶栓在肺栓塞的治疗中应发挥更大作用吗？
Clin Med (Lond). 2009 Oct;9(5):431-5. doi: 10.7861/clinmedicine.9-5-431.
9
Electronic cardiac arrest triage score best predicts mortality after intervention in patients with massive and submassive pulmonary embolism.电子心脏骤停分诊评分最能预测大量和亚大量肺栓塞患者干预后的死亡率。
Catheter Cardiovasc Interv. 2018 Aug 1;92(2):366-371. doi: 10.1002/ccd.27624. Epub 2018 May 10.
10
Interventional Therapies for Acute Pulmonary Embolism: Current Status and Principles for the Development of Novel Evidence: A Scientific Statement From the American Heart Association.急性肺栓塞的介入治疗：现状与新型证据制定的原则：美国心脏协会的科学声明。
Circulation. 2019 Nov 12;140(20):e774-e801. doi: 10.1161/CIR.0000000000000707. Epub 2019 Oct 4.
本文引用的文献
1
Massive Pulmonary Embolism: Optimizing Collaborative Care and Endovascular Therapy.大面积肺栓塞：优化协作护理与血管内治疗
Circ Cardiovasc Interv. 2023 Oct;16(10):e013536. doi: 10.1161/CIRCINTERVENTIONS.123.013536. Epub 2023 Oct 17.
2
Outcomes in High-Risk Pulmonary Embolism Patients Undergoing FlowTriever Mechanical Thrombectomy or Other Contemporary Therapies: Results From the FLAME Study.血流导向装置机械血栓切除术或其他当代疗法治疗高危肺栓塞患者的结局：来自 FLAME 研究的结果。
Circ Cardiovasc Interv. 2023 Oct;16(10):e013406. doi: 10.1161/CIRCINTERVENTIONS.123.013406. Epub 2023 Oct 17.
3
Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report.VTE疾病的抗栓治疗：CHEST指南及专家小组报告的第二次更新
Chest. 2021 Dec;160(6):e545-e608. doi: 10.1016/j.chest.2021.07.055. Epub 2021 Aug 2.
4
Hemodynamic Effects of Ultrasound-Assisted, Catheter-Directed, Very Low-Dose, Short-Time Duration Thrombolysis in Acute Intermediate-High Risk Pulmonary Embolism (from the EKOS-PL Study).急性中高危肺栓塞患者超声辅助、导管直接、超低剂量、短时间溶栓的血液动力学效应（来自 EKOS-PL 研究）。
Am J Cardiol. 2021 Feb 15;141:133-139. doi: 10.1016/j.amjcard.2020.11.004. Epub 2020 Nov 18.
5
2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS).2019年欧洲心脏病学会（ESC）与欧洲呼吸学会（ERS）合作制定的急性肺栓塞诊断和管理指南。
Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405.
6
Outcomes of Catheter-Directed Therapy Plus Anticoagulation Versus Anticoagulation Alone for Submassive and Massive Pulmonary Embolism.导管直接治疗联合抗凝与单纯抗凝治疗亚大块和大块肺栓塞的结局。
Am J Med. 2019 Feb;132(2):240-246. doi: 10.1016/j.amjmed.2018.10.015. Epub 2018 Oct 24.
7
Systemic thrombolytic therapy for acute pulmonary embolism: a systematic review and meta-analysis.急性肺栓塞的全身溶栓治疗：一项系统评价和荟萃分析。
Eur Heart J. 2015 Mar 7;36(10):605-14. doi: 10.1093/eurheartj/ehu218. Epub 2014 Jun 10.
8
Diagnostic accuracy of echocardiography for pulmonary hypertension: a systematic review and meta-analysis.超声心动图诊断肺动脉高压的准确性：系统评价和荟萃分析。
Heart. 2011 Apr;97(8):612-22. doi: 10.1136/hrt.2010.212084. Epub 2011 Feb 25.
9
Prognostic value of ECG among patients with acute pulmonary embolism and normal blood pressure.急性肺栓塞且血压正常患者心电图的预后价值
Am J Med. 2009 Mar;122(3):257-64. doi: 10.1016/j.amjmed.2008.08.031.
10
Acute pulmonary embolism: part II: risk stratification, treatment, and prevention.急性肺栓塞：第二部分：危险分层、治疗与预防
Circulation. 2003 Dec 9;108(23):2834-8. doi: 10.1161/01.CIR.0000098427.74047.42.
Zotero 插件