[治疗小故事:肺栓塞的治疗]。

Revue medicale de Liege Pub Date : 2024-09-01
Charline Longle, Sébastien Robinet, Bernard Lambermont
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引用次数: 0

摘要

肺栓塞是静脉血栓栓塞性疾病的一种表现形式,其特点是肺动脉内血栓形成。症状和临床体征繁多且无特异性。诊断主要依靠医学影像(胸部 CT 血管造影或通气/灌注闪烁扫描)。这种疾病需要及时治疗,以降低发病率和死亡率。治疗策略包括抗凝、全身或导管引导溶栓、机械血栓切除术或手术。在我院,我们有一个多学科团队,称为肺栓塞应对团队(PERT),负责指导肺栓塞的治疗,并为使用新兴的血管内技术提供便利。
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[Therapeutic vignette : treatment of pulmonary embolism].

Pulmonary embolism is a manifestation of venous thromboembolic disease, characterized by thrombus formation within the pulmonary arteries. Symptoms and clinical signs are numerous and nonspecific. Diagnosis relies on medical imaging (thoracic CT angiography or ventilation/perfusion scintigraphy). This disease requires prompt management to reduce morbidity and mortality. Treatment strategies include anticoagulation, systemic or catheter-guided thrombolysis, mechanical thrombectomy or surgery. In our institution, we have a multidisciplinary team, called PERT (Pulmonary Embolism Response Team), responsible for guiding the management of pulmonary embolism and for facilitating the access to those emerging endovascular techniques.

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