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介入溶栓球囊扩张术治疗肺动脉栓塞疗效探讨 预览 被引量:4

Evaluation of interventional angioplasty by using thrombolysis and balloon dilatation in treating pulmonary embolism
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摘要 目的评价介入溶栓球囊扩张术对肺动脉栓塞治疗效果。方法8例肺动脉栓塞患者,经股静脉穿刺插管,导管导丝置于肺动脉内进行血栓捣碎、采用尿激酶冲击溶栓、球囊扩张术和24h尿激酶持续溶栓,同时给予肝素抗凝治疗。结果完全开通3例,部分开通5例。3例血氧饱和度达到100%,5例血氧饱和度达93%以上。结论介入溶栓球囊扩张术治疗肺动脉栓塞能及时开通肺动脉,恢复肺动脉血流动力学改变,纠正低氧血症,是治疗肺动脉栓塞一种有效的方法。 Objective To evaluate the interventional angioplasty by using thrombolysis and balloon dilatation in the treatment of pulmonary embolism. Methods Eight patients with pulmonary embolism were treated with interventional management including fragmentation of the thrombus, thrombolysis with urokinase flush infusion, balloon dilatation and continuing low-dose infusion for 24 hours. Anticoagulation with heparin was given simultaneously. Results The pulmonary artery was completely recanalized in three patients,
作者 孙仁华 SUN Ren-hua. Department of CT and Interventional Radiology; No. 404 Hospital of PLA; Weihai 264200; China;
出处 《介入放射学杂志》 CSCD 北大核心 2009年第1期,共3页 Journal of Interventional Radiology
关键词 肺动脉栓塞 介入治疗 pulmonary embolism interventional angioplasty thrombolysis balloon dilatation
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