肺栓塞的诊断和治疗进展.pdf
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参见附件(219kb)。
Trauma, 2000, 49 (1) : 1402 144.
[ 11 ] 王琦,张先龙,沈骏,等.低风险人群初次人工关节置换术后深
静脉血栓 [ J ].中华骨科杂志, 2007, 27 (2) : 1062 109.
[ 12 ] 唐孝明,裴福兴,沈彬. 麻醉对人工髋关节置换术后深静脉血
栓形成的影响 [ J ].骨与关节损伤杂志, 2002, 17 (5) : 2012 202.
[ 13 ] ClarkeMT, Green JS, Har perWM, et al . Cement as a risk factor for
deep2 vein thrombosis : comparis on of cemented TKP, uncemented
TKP and cemented THR [ J ]. J Bone Joint Surg (Br) , 1998, 80
(4) : 6112 617.
[ 14 ] 宋奕宁,李建国,张万蓉,等.彩色多普勒超声观察人工关节置
换术后下肢深静脉血栓的形成 [ J ].中国介入影像与治疗学,2005, 2 (3) : 2032 206.
[ 15 ] Montgomery K D, PoHer GH, HelfetDL. Magnetic res onance venog2
raphy to evaluate the deep venous system of the pelvisin patients
who have an acetabular fracture [ J ]. J Bone Joint Surg (Am) ,1995, 77 (11) : 16392 1649.
[ 16 ] 杨宝军,何平,屈建平,等.术前 D2 二聚体水平与下肢术后深静
脉血栓形成的临床研究 [ J ]. 骨与关节损伤杂志, 2004, 19
(12) : 8522 853.
[ 17 ] 徐西奎,程雷,聂林,等.全膝关节置换术后下肢深静脉血栓形
成的防治 [ J ]. 中国骨与关节损伤杂志, 2006, 21 ( 11 ) :
9152 917.
[ 18 ] Bounameant H,Mir onMJ,Blanchard J, et al . Measurement of p las2
ma D2 dimer not useful in the p rediction or diagnosis of postopera2
tive deep vein thr ombosis in patients undergoing total knee
arthop lasty[ J ]. Bl ood Cougul Fibrinolysis, 1998, 9 (8) : 7492 755.
[ 19 ] Yang LC,Wang CJ, Lee TH. Early diagnosis of deep vein thrombo2
sis in female patients who undergo total knee arthrop lasty with
measurement of P2selecti om [ J ]. J Vasc Surg, 2002, 35 ( 4 ) :
7072 715.
[ 20 ] 杨刚,吕厚山,高健,等.低分子肝素预防人工髋膝关节置换术
后下肢深静脉血栓形成的研究 [ J ]. 中华外科杂志, 2000, 38
(1) : 252 27.
[ 21 ] 陈东峰,余南生,卢伟杰,等.低分子肝素联合间歇充气加压预
防人工关节置换术后下肢深静脉血栓形成 [ J ]. 中华骨科杂
志, 2006, 26 (12) : 8232 826.
[ 22 ] Br ookenthal KR, Freedman KB, Kotke PA, et al . A meta2 analysis of
thromboembolic p r ophylaxis in t otal knee arthrop lasty[ J ]. J Arthro2
p lasty, 2001, 16 (3) : 2932 298.
[ 23 ] 王友华,刘潘,王洪,等.维生素 E FDP预防全髋关节术后深静
脉血栓形成的研究 [ J ]. 中华创伤骨科杂志, 2005, 7 ( 6 ) :
5122 514.
[ 24 ] 阮洪江,张继华.活血复元汤配合低分子肝素钠预防人工髋关
节术后下肢深静脉血栓形成 [ J ]. 中国骨伤, 2005, 18 ( 12 ) :
7192 721.
[ 25 ] 何伟东,黄新宇,柯楚群. 老年髋骨骨折围手术期并有症与并
发症 [ J ].实用医学杂志, 2001, 7 (17) : 6262 628.
[ 26 ] 孙成良,张佐伦,袁泽农. 老年下肢骨折并深静脉血栓形成
[ J ].骨与关节损伤杂志, 2002, 17 (6) : 4632 464.
[ 27 ] 董典宁,张十一,金星,等.腘静脉置管溶栓联合髂静脉支架治
疗髂股静脉血栓 [ J ]. 中国实用外科杂志, 2007, 27 ( 3 ) :
2322 234.
[ 28 ] Wolle TR,Allen T L. Syncope as an emergency depart ment p resen2
tation of pulmonary embolism [ J ]. J Emery Med, 1998, 16 ( 1 ) :
272 37.
[ 29 ] 程显声,何建国.肺栓塞的流行病学 [ J ].中国循环杂志, 1998,13 (1) : 652 67.
[ 30 ] 方秀统,张新,王博,等.老年髋骨骨折术后死亡分析 [ J ].骨与
关节损伤杂志, 2004, 19 (7) : 4422 444.
收稿日期: 20082 102 09 修回日期: 20082 122 28
肺栓塞的诊断和治疗进展
谷 岩 ,侯 澎 ,谷 川
(天津市第一中心医院普通外科,天津 300192)
中图分类号: R563. 5 文献标识码: A 文章编号: 10062 2084 (2009) 052 07142 04
摘要:肺栓塞 ( PE)危害严重且病死率高,临床表现缺乏特异性,致使临床误诊、 漏诊较多。但可
有效治疗,近年来日益受到人们重视。许多互补的方法用于可疑 PE患者的诊断。目前,在 PE的诊
断和治疗方面都取得了很大的进展,更加简便、 经济的诊断模式和有效的治疗方法将不断改善。
关键词:肺栓塞;临床诊断;治疗
Progress of D i agnosis and Trea tmen t for Pulmonary Embolism GU Yan, HOU Peng, GU Chuan . (De2
part m ent of Comm on Surgery, Tianjin Fir st Hospital , Tianjin 300192, China)
Abstract: Pul monary embolis( PE) is a disease with high mortality . Because the symp toms of PE are un2
s pecifie,misdiagnosis and missed diagnosis often occurs . With the correct diagnosis, the patients will receive
effective therapy, s o more and more doctors pay attenti on t o this disease recent years . Many relative methods
are used in the diagnosis of PE. Now it has made a great p r ogress in the accurate diagnosis and treat ment .
More si mp le and economic makes the diagnostic and treatmentmethod of the PE increasing qualified .
Key words: Pulmonary embolis m; Clinical diagnosis ; Treatment
肺栓塞是指各种栓子经静脉嵌塞在肺动脉及其
分支 ,组织血液供应受阻所引起的疾患 ......
[ 11 ] 王琦,张先龙,沈骏,等.低风险人群初次人工关节置换术后深
静脉血栓 [ J ].中华骨科杂志, 2007, 27 (2) : 1062 109.
[ 12 ] 唐孝明,裴福兴,沈彬. 麻醉对人工髋关节置换术后深静脉血
栓形成的影响 [ J ].骨与关节损伤杂志, 2002, 17 (5) : 2012 202.
[ 13 ] ClarkeMT, Green JS, Har perWM, et al . Cement as a risk factor for
deep2 vein thrombosis : comparis on of cemented TKP, uncemented
TKP and cemented THR [ J ]. J Bone Joint Surg (Br) , 1998, 80
(4) : 6112 617.
[ 14 ] 宋奕宁,李建国,张万蓉,等.彩色多普勒超声观察人工关节置
换术后下肢深静脉血栓的形成 [ J ].中国介入影像与治疗学,2005, 2 (3) : 2032 206.
[ 15 ] Montgomery K D, PoHer GH, HelfetDL. Magnetic res onance venog2
raphy to evaluate the deep venous system of the pelvisin patients
who have an acetabular fracture [ J ]. J Bone Joint Surg (Am) ,1995, 77 (11) : 16392 1649.
[ 16 ] 杨宝军,何平,屈建平,等.术前 D2 二聚体水平与下肢术后深静
脉血栓形成的临床研究 [ J ]. 骨与关节损伤杂志, 2004, 19
(12) : 8522 853.
[ 17 ] 徐西奎,程雷,聂林,等.全膝关节置换术后下肢深静脉血栓形
成的防治 [ J ]. 中国骨与关节损伤杂志, 2006, 21 ( 11 ) :
9152 917.
[ 18 ] Bounameant H,Mir onMJ,Blanchard J, et al . Measurement of p las2
ma D2 dimer not useful in the p rediction or diagnosis of postopera2
tive deep vein thr ombosis in patients undergoing total knee
arthop lasty[ J ]. Bl ood Cougul Fibrinolysis, 1998, 9 (8) : 7492 755.
[ 19 ] Yang LC,Wang CJ, Lee TH. Early diagnosis of deep vein thrombo2
sis in female patients who undergo total knee arthrop lasty with
measurement of P2selecti om [ J ]. J Vasc Surg, 2002, 35 ( 4 ) :
7072 715.
[ 20 ] 杨刚,吕厚山,高健,等.低分子肝素预防人工髋膝关节置换术
后下肢深静脉血栓形成的研究 [ J ]. 中华外科杂志, 2000, 38
(1) : 252 27.
[ 21 ] 陈东峰,余南生,卢伟杰,等.低分子肝素联合间歇充气加压预
防人工关节置换术后下肢深静脉血栓形成 [ J ]. 中华骨科杂
志, 2006, 26 (12) : 8232 826.
[ 22 ] Br ookenthal KR, Freedman KB, Kotke PA, et al . A meta2 analysis of
thromboembolic p r ophylaxis in t otal knee arthrop lasty[ J ]. J Arthro2
p lasty, 2001, 16 (3) : 2932 298.
[ 23 ] 王友华,刘潘,王洪,等.维生素 E FDP预防全髋关节术后深静
脉血栓形成的研究 [ J ]. 中华创伤骨科杂志, 2005, 7 ( 6 ) :
5122 514.
[ 24 ] 阮洪江,张继华.活血复元汤配合低分子肝素钠预防人工髋关
节术后下肢深静脉血栓形成 [ J ]. 中国骨伤, 2005, 18 ( 12 ) :
7192 721.
[ 25 ] 何伟东,黄新宇,柯楚群. 老年髋骨骨折围手术期并有症与并
发症 [ J ].实用医学杂志, 2001, 7 (17) : 6262 628.
[ 26 ] 孙成良,张佐伦,袁泽农. 老年下肢骨折并深静脉血栓形成
[ J ].骨与关节损伤杂志, 2002, 17 (6) : 4632 464.
[ 27 ] 董典宁,张十一,金星,等.腘静脉置管溶栓联合髂静脉支架治
疗髂股静脉血栓 [ J ]. 中国实用外科杂志, 2007, 27 ( 3 ) :
2322 234.
[ 28 ] Wolle TR,Allen T L. Syncope as an emergency depart ment p resen2
tation of pulmonary embolism [ J ]. J Emery Med, 1998, 16 ( 1 ) :
272 37.
[ 29 ] 程显声,何建国.肺栓塞的流行病学 [ J ].中国循环杂志, 1998,13 (1) : 652 67.
[ 30 ] 方秀统,张新,王博,等.老年髋骨骨折术后死亡分析 [ J ].骨与
关节损伤杂志, 2004, 19 (7) : 4422 444.
收稿日期: 20082 102 09 修回日期: 20082 122 28
肺栓塞的诊断和治疗进展
谷 岩 ,侯 澎 ,谷 川
(天津市第一中心医院普通外科,天津 300192)
中图分类号: R563. 5 文献标识码: A 文章编号: 10062 2084 (2009) 052 07142 04
摘要:肺栓塞 ( PE)危害严重且病死率高,临床表现缺乏特异性,致使临床误诊、 漏诊较多。但可
有效治疗,近年来日益受到人们重视。许多互补的方法用于可疑 PE患者的诊断。目前,在 PE的诊
断和治疗方面都取得了很大的进展,更加简便、 经济的诊断模式和有效的治疗方法将不断改善。
关键词:肺栓塞;临床诊断;治疗
Progress of D i agnosis and Trea tmen t for Pulmonary Embolism GU Yan, HOU Peng, GU Chuan . (De2
part m ent of Comm on Surgery, Tianjin Fir st Hospital , Tianjin 300192, China)
Abstract: Pul monary embolis( PE) is a disease with high mortality . Because the symp toms of PE are un2
s pecifie,misdiagnosis and missed diagnosis often occurs . With the correct diagnosis, the patients will receive
effective therapy, s o more and more doctors pay attenti on t o this disease recent years . Many relative methods
are used in the diagnosis of PE. Now it has made a great p r ogress in the accurate diagnosis and treat ment .
More si mp le and economic makes the diagnostic and treatmentmethod of the PE increasing qualified .
Key words: Pulmonary embolis m; Clinical diagnosis ; Treatment
肺栓塞是指各种栓子经静脉嵌塞在肺动脉及其
分支 ,组织血液供应受阻所引起的疾患 ......
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