Treatment of pulmonary thromboembolism

被引:11
作者
Goldhaber, SZ [1 ]
机构
[1] Harvard Univ, Div Cardiovasc, Dept Med, Brigham & Womens Hosp,Med Sch, Boston, MA 02115 USA
关键词
pulmonary embolism; thrombophlebitis; low molecular weight heparin; thrombolysis;
D O I
10.2169/internalmedicine.38.620
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The epidemiology, diagnosis, treatment, and prophylaxis of PE are rapidly advancing. Our array of diagnostic imaging tools has expanded to include echocardiography and spiral chest CT with contrast. We have also gained a keen appreciation for the importance of risk stratification of our patients. The decision to administer thrombolysis or undertake embolectomy may now depend upon the presence of right ventricular dysfunction even if systemic arterial pressure is normal. Finally, the availability of low molecular weight heparins broadens our options for pharmacologic management.
引用
收藏
页码:620 / 625
页数:6
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