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The combined treatment for lower extremity deep venous thrombosis with acute pulmonary embolism
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
- Issue:
- 11
- DOI:
- 10.3760/cma.j.issn.1008-6706.2005.11.004
- Key Word:
- 静脉血栓形成;肺栓塞;丹参;下肢
Abstract： 目的评价采用综合治疗方法治疗下肢静脉血栓并急性肺动脉栓塞的临床价值.方法对37例下肢静脉血栓形成(4例合并急性肺动脉栓塞)患者采用下腔静脉滤过器置放、溶栓、复方丹参静脉滴注、抗凝治疗相结合的方法进行治疗,以临床症状和病灶的医学影像改变判断其疗效.结果肢体肿胀完全消失,彩色多普勒检查示下肢静脉完全再通7例,症状体征消失,长久站立或行走后轻度肿胀,彩色多普勒检查示下肢静脉部分通畅,血流信号明显22例,肿胀减轻,长久站立或行走后肿胀明显加重,休息后再度缓解8例.4例肺栓塞患者症状明显好转.3例CT检查发现肺内病灶的患者治疗后肺内病灶明显缩小2例,病灶消失1例.无一例严重并发症.结论采用综合治疗方法治疗下肢静脉血栓并急性肺动脉栓塞是一种安全、效果好的方法,可改善其疗效.
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