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溶栓治疗急性肺动脉血栓栓塞：经食管超声心动图的诊断及监测应用

Acute pulmonary artery thromboembolism treated with thrombolysis: diagnostic and monitoring uses of transoesophageal echocardiography.

作者信息

Rittoo D, Sutherland G R

机构信息

Department of Cardiology, Western General Hospital, Edinburgh.

出版信息

Br Heart J. 1993 May;69(5):457-9. doi: 10.1136/hrt.69.5.457.

DOI:10.1136/hrt.69.5.457
PMID:8518074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1025115/
Abstract

The central pulmonary arteries and any thrombus within them can be imaged by transoesophageal echocardiography. Its use is reported in the diagnosis and subsequent management of a patient with acute pulmonary embolism, whose response to thrombolytic treatment was monitored by further transoesophageal studies. Transoesophageal echocardiography may be a valuable primary diagnostic procedure in patients who seem to have sustained a significant pulmonary embolus and require urgent intervention.

摘要

经食管超声心动图可对中央肺动脉及其内的任何血栓进行成像。据报道，它用于一名急性肺栓塞患者的诊断及后续治疗，通过进一步的经食管检查监测其对溶栓治疗的反应。对于似乎发生了严重肺栓塞且需要紧急干预的患者，经食管超声心动图可能是一种有价值的初步诊断方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3611/1025115/f8200f2500bc/brheartj00015-0090-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3611/1025115/920db16034c6/brheartj00015-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3611/1025115/f8200f2500bc/brheartj00015-0090-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3611/1025115/920db16034c6/brheartj00015-0090-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3611/1025115/f8200f2500bc/brheartj00015-0090-b.jpg

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Acute pulmonary artery thromboembolism treated with thrombolysis: diagnostic and monitoring uses of transoesophageal echocardiography.溶栓治疗急性肺动脉血栓栓塞：经食管超声心动图的诊断及监测应用
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引用本文的文献

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An introduction to transoesophageal echocardiography: II. Clinical applications.经食管超声心动图学概论：II. 临床应用
Can J Anaesth. 1996 Mar;43(3):278-94. doi: 10.1007/BF03011745.

本文引用的文献

1
Anticoagulant drugs in the treatment of pulmonary embolism. A controlled trial.抗凝药物治疗肺栓塞的对照试验。
Lancet. 1960 Jun 18;1(7138):1309-12. doi: 10.1016/s0140-6736(60)92299-6.
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Echocardiographic recognition of pulmonary arterial disease and determination of its cause.超声心动图对肺动脉疾病的识别及其病因的确定。
Am J Med. 1988 Mar;84(3 Pt 1):384-94. doi: 10.1016/0002-9343(88)90257-4.
3
Detection of thromboembolus of the right pulmonary artery by transesophageal two-dimensional echocardiography.经食管二维超声心动图检测右肺动脉血栓栓塞
Am J Cardiol. 1988 Feb 15;61(6):488-9. doi: 10.1016/0002-9149(88)90320-7.
4
Biplanar transesophageal echocardiography: anatomic correlations, image orientation, and clinical applications.双平面经食管超声心动图：解剖学关联、图像定位及临床应用
Mayo Clin Proc. 1990 Sep;65(9):1193-213. doi: 10.1016/s0025-6196(12)62744-x.
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Thrombolysis for pulmonary embolism.肺栓塞的溶栓治疗。
Prog Cardiovasc Dis. 1991 Sep-Oct;34(2):113-34. doi: 10.1016/0033-0620(91)90009-b.
6
Simultaneous mechanical clot fragmentation and pharmacologic thrombolysis in acute massive pulmonary embolism.急性大面积肺栓塞的同步机械性血栓碎裂与药物溶栓治疗
Am J Cardiol. 1992 Feb 1;69(4):427-30. doi: 10.1016/0002-9149(92)90251-s.
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Percutaneous catheter fragmentation and distal dispersion of proximal pulmonary embolus.经皮导管碎裂术及近端肺栓塞的远端分散
Lancet. 1991 Nov 9;338(8776):1186-9. doi: 10.1016/0140-6736(91)92042-z.
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Diagnosis of pulmonary embolism by transoesophageal echocardiography.经食管超声心动图诊断肺栓塞
Eur Heart J. 1992 Jul;13(7):1000-1. doi: 10.1093/oxfordjournals.eurheartj.a060276.