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普通外科医师如何识别和紧急救治肺动脉栓塞

How to diagnosis and salvage pulmonary embolism for general surgical surgeon
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摘要 肺动脉栓塞(PE)在普通外科病人中并不少见。普通外科医师有必要掌握诊断和治疗的基本知识,提高及时识别PE能力。在紧急抢救时,早期处理和快速启动会诊系统非常重要。发现病人存在PE的可疑临床表现和体征时,监测血D-二聚体,如果阳性启动Wells评分,当评分≥2分时,进行相关确诊检查。高度疑诊和确诊的高危PE的紧急救治需要区别对待,前者难度和风险更大,需要多学科团队的快速联合干预。 Pulmonary embolism is commonly occurred in general surgical patients.The general surgical surgeon should master and improve these basic knowledges of diagnosis and treatment.In the rescue of acute pulmonary embolism,it is important to pretreat and get a consultation immediately.For patients with suspicious clinical manifestations and sign of pulmonary embolism,D-dimer should be tested.If it’s positive,the Wells score will be calculated.Then confirmed diagnosis examination would be examined with the score more than 2.The salvage of pulmonary embolism is according to two different situations which include suspicious or diagnosed high risk pulmonary embolism.It’s very difficult to manage the suspicious case that need the support from the multidisciplinary team.
作者 蒋进军 JIANG Jin-jun(Department of Pulmonary and Critical Care Medicine,Zhongshan Hospital,Fudan University,Shanghai 200032,China)
出处 《中国实用外科杂志》 CSCD 北大核心 2020年第5期522-524,共3页 Chinese Journal of Practical Surgery
基金 国家自然基金项目(No.81870062)。
关键词 肺动脉栓塞 普通外科 D-二聚体 WELLS评分 高危 pulmonary embolism general surgy D-dimer Wells score high risk
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