急性肺血栓塞栓症

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タイトル別名
  • Acute Pulmonary Thromboembolism

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Recently acute pulmonary thromboembolism (APE) has been recognized as one of the common emergent cardiopulmonary disorders. However it is afraid that so many non-overt APE may be overlooked clinically. It is neccessary for the diagnosis to recognize that APE is not rare disease in Japan and to know the non-specific clinical features. Usually the definitive diagnosis for APE is established by the lung scan with perfusion defect and/or pulmonary arteriography with cut-off sign or filling defect. In the case of massive APE with shock, bedside echocardiography is sometimes available for prompt diagnosis and treatment.<br>The first choice for management of APE is heparin. The indication for thrombolytic therapy with tissue plasminogen activator, surgical embolectomy, catheter embolectomy and the implantation of inferior cavalvein filter is controversial. Since the reccurent attack often leads to fatal outcome, the early evaluation and management for deep vein thrombosis of lower extremities as the source of APE is recommended.

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