培训课件-肺栓塞的诊断及防治策略.pptVIP

? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * The structure of each type of blood vessel is modified according to its function and location. One common structural characteristic of all the vessels is the smooth endothelial lining known as the intima. All arteries and veins are constructed of three layers. The walls of the venules and veins are much thinner and less elastic than the arteries and arterioles. The veins and venules also contain blood under much lower pressures and many of the veins have valves. ? Huntleigh Healthcare， 2002 * ? Huntleigh Healthcare， 2002 * 抗栓加压包 GCS 间歇充气压缩泵 IPC PTE的预防 急性肺栓塞诊疗指南，ESC 2008 机械性预防主要用于 高出血危险的患者； 抗凝为基础的预防治疗的辅助； 为保证正确使用和最佳依从性，应谨慎使用，已经存在DVT者禁用，高度可疑DVT者慎用。 PTE的预防 急性肺栓塞诊疗指南，ESC 2008 分级预防措施 低危患者 内科：无活动障碍, 住院时间短 外科：手术时间 30 min, 可以活动，无其他危险因素 推荐的预防措施 无特殊预防治疗 活动 急性肺栓塞诊疗指南，ESC 2008 中危患者 内科：卧床/病重 外科： 大型普外手术、 泌尿及妇科手术 推荐的预防措施 可供选择的预防方法: LDH、LMWH、IPC 预防开始时间：越早越好 预防持续时间：出院 （而不是“可以活动” 分级预防措施 急性肺栓塞诊疗指南，ESC 2008 高危患者 接受大型骨科手术的患者 推荐的预防措施 可供选择的预防方法：LMWH、 LDH 华法令 INR 2-3 预防开始时间：术后 预防持续时间： 10d 2-4 周 分级预防措施 急性肺栓塞诊疗指南，ESC 2008 1、PTE发病率、死亡率和漏诊率都很高。 3、超声心动、螺旋CT、磁共振及肺动脉造影等检查对于诊断PET具有重要价值。 2、对PTE的预防远远重于治疗。 小 结 4、对高危PTE应该考虑溶栓治疗，而对中危PTE是否溶栓视患者情况而定，低危PTE患者一般不需要溶栓。 谢谢 ? Huntleigh Healthcare， 2002 * The structure of each tyPTE of blood vessel is modified according to its function and location. One common structural characteristic of all the vessels is the smooth endothelial lining known as the intima. All arteries and veins are constructed of three layers. The walls of the venules and veins are much thinner and less elastic than th