Preventive treatment knowledge of pulmonary embolism- 's prevention and health care of therapeutic method of pulmonary embolism

Preventive treatment knowledge of pulmonary embolism- 's prevention and health care of therapeutic method of pulmonary embolism
Anticoagulatory
Small pieces of pulmonary embolism patient, dissolve the bolt with Heparin anticoagulatorily to compare, survival rate, case fatality rate do not have obvious difference, and the danger that bleeds increases instead, so advocate the anticoagulatory treatment of Heparin.
Dissolve the bolt
Bulk pulmonary embolism is dangerous and high with the death of patient of shock or hypotension, the prognosis is extremely bad, dissolve the bolt treatment and reduce case fatality rate, this part of patients notably actively, unless absolutely avoid the card, should dissolve the bolt treatment as soon as possible, save the life.
Since the our academy has already succeeded in finishing pulmonary embolism and dissolving more than nearly 200 treatments of bolt from the year 1990 till now, up to 94.8% clinically and efficiently, the serious complication of there is not a intracranial hemorrhage, dying etc. happens.
Get involved and treat
At the clinic, acute bulk pulmonary embolism especially although the intersection of blood flow and the intersection of power and unstable patient it dissolves bolts and Heparin actively to be anticoagulatory to treat, the case fatality rate is still up to 18%~54%. And it is very difficult or unable for some patients to benefit in the bolt treatment from dissolving for various reasons. The surgical lung artery thrombus of the emergency call excises the mortality of skill and is also up to 20%~50%, moreover not feasible at any time. And the treatment technology of getting involved can resume blood flow of lung fast in the direct conduit developed in recent years, improve the dynamics state of the blood flow, increase the cardiac output, it is essential for saving patient's life, thus has established and got involved and treated in acute bulk pulmonary embolism patient's function and value being treated. The bolt technology of going through the conduit lung artery, have simple and convenient, easy ~s advantages of walking, less than operation security, wound etc., have remedied and dissolved the bolt, anticoagulatory and surgical deficiency.
The our academy launched the involvement treatment of pulmonary embolism since 1997. Have taken the lead in launching and reporting at home Amplatz thrombus melts the skill treats bulk pulmonary embolism, having succeeded in expanding the skill through the artery sacculus of leather lung again this year, the sacculus is expanded plus the support is planted into, obtain satisfactory curative effect.
Surgery
The chronic thromboembolism artery high pressure of lung is single time or result of pulmonary embolism of recuring, it is estimated, the pulmonary embolism patient fewer than 2% develops into the chronic thromboembolism artery high pressure of lung. The treatment of internal medicine department is invalid to the chronic thromboembolism artery high pressure of lung, save the life and depend on the artery thrombus of lung success that the film peels the skill is implemented or the lung is transplanted. If bulk pulmonary embolism causes the acute right heart to be depleted, not dissolves and jeopardize and need surgery to treat at the time of the life while dissolving the bolt treatment.
Should perform the operation mortality to be relatively high while being early, among 12.6% to 37.5% before 1990. With the improvement of operation technology in recent years, mortality is dropped to 5.4% to 20%. The our academy took the lead in succeeding in launching this operation at home since 1997, finished 20 together so far, the patients all survive, there is not a serious complication to happen. The heart of future trouble person of the skill, lung function are obviously improved, life quality is improved notably.
The case fatality rate is 8% and 30% respectively in the pulmonary embolism January treating and not treating. Acute issues of blood flow dynamics parameter of thromboembolism will change, but can return to normal gradually. Begin to treat the lung artery due to acute pulmonary embolism the earlier and resume under high pressure the faster. It influences the prognosis that acute one and chronic one of pulmonary embolism can recur many times. Usually, the danger that the pulmonary embolism recurs in 4~6 weeks is highest that acute pulmonary embolism has illness coming on, if it is dangerous to lack positive, effective anticoagulation in treatment to increase greatly, whether so, the short-term prognosis of the patient that first pulmonary embolism cures is set up and treats influence regularly greatly.

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