Old pulmonary embolism treats _'s treatment

Old pulmonary embolism treats _'s treatment
Healing solutionMainly treating the measure in order to deal with and dissolve the bolt, anticoagulatory treatment to the ill of pulmonary embolism. The purpose to deal with to the ill is to maintain the stability of dynamics of blood flow, prevent and cure shock and in heart failure, the persons who ache of serious chest can offer anodyne. Anticoagulatory should implement to treat as soon as possible, although it can't dissolve the thrombus directly, can prevent the further development of the thrombus or send again. Commonly used medicine Heparin with forest, law of China. Propose Heparin treat at least 5- 7 behind the d, offer, take orally anticoagulatory the intersection of medicine and forest, law of China, at the same time, 3- change into oral forest, law of China, alone behind the 5d. The elderly anticoagulatory dosage of pharmaceutical increase age and give medicine the extension of time to should be reduced to some extent at the same time. Adjust according to blood coagulation time and thrombinogen time mainly. The time of blood coagulation controls normal 1.5- 2 times, the time of thrombinogen is normal 1.5- 2.5 times, the relevant bleeding of Heparin is probably 3% in the average incidence of of thromboembolism of acute intravenous thrombus. Low molecular Heparin may be safer and effectiver than ordinary Heparin. Seldom find that bleeds with the low molecular liver speed, total mortality is lower than ordinary Heparin too. The dissolving the bolt treatment of pulmonary embolism still has objection, but if has no person who dissolves bolt taboo to still maintain more to bulk pulmonary embolism or pulmonary embolism of companion's obvious hypoxemia disease having illness coming on within 5d the conduct dissolves the bolt treatment. The commonly used medicine is urine kinase and the organizing type is fine to dissolve zymogen activator again. Surgery deals with: For prevent the intersection of lower extremities and dark intravenous thrombus from loss, cause lung to be suitable to fill, can have prevented the umbrella type filter or titanium metal Greenfild filter from once again. Put filter is for a long time anticoagulatory to treat, should consider, because filter take place put, the intersection of filter and thromboembolism person can reach 16%, membrane peel skill in the thrombus as to chronic thromboembolism the intersection of lung and the intersection of artery and high pressure and feasible the intersection of lung and artery, the big difficulty that but should perform the operation, can peel the membrane in the lung artery to one section of levels of inferior lung.
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