Diagnosis and treatment of pulmonary thromboembolism and Prospect.docVIP

 PAGE \* MERGEFORMAT 21 Diagnosis and treatment of pulmonary thromboembolism and Prospect [Abstract] pulmonary embolism with a high incidence of high misdiagnosis rate and high mortality. Emboli mainly from its lower extremity deep vein thrombosis, and its lower extremity deep vein thrombosis and is a two-stage disease. A variety of clinical disease manifestations and pulmonary hypertension caused by hypoxia and hemodynamic instability are closely related. commonly used non-invasive diagnostic tools include electrocardiography, chest X ray, D dimer, blood gas analysis, echocardiography, CTPA, MRA and radionuclide lung ventilation perfusion scanning. an invasive pulmonary angiography is mainly. CTPA in the pulmonary trunk, leaf, level section of the sensitivity of pulmonary embolism was 96%, specificity 92%, have been gradually replaced by the lung is considered to be noninvasive angiography of choice. pulmonary thromboembolism, including the main cause of therapeutic intervention, treatment and complications of anticoagulant treatment of symptomatic support. For patients with acute massive thrombosis, thrombolytic therapy is superior to anticoagulation alone. anticoagulant therapy is pulmonary thromboembolism The basic treatment, commonly used drugs unfractionated heparin, low molecular weight heparin and warfarin. unfractionated heparin therapy emphasizes compliance and stability of early compliance, in the treatment of acute massive thrombosis effective than low molecular weight heparin, which is a large area in the treatment of acute non- thrombosis in effect equal to or better than unfractionated heparin. warfarin half-life of long, slow onset, for the prevention of chronic thrombosis, the use of at least 3 months treatment. of pulmonary embolism prognostic factors for acute right heart failure and chronic pulmonary hypertension. acute pulmonary thromboembolism failed to timely diagnosis and treatment of patients, duration of chronic persistent, thrombol