肺動脈栓塞－臨床診斷及治療

楊雅伶 ； 吳承學

《臨床醫學月刊》 80卷6期 (2017/12) Pp. 702-709

https://doi.org/10.6666/ClinMed.2017.80.6.128

摘要

肺栓塞是第三大心血管疾病，症狀可由輕微的胸悶到突發性的死亡。急性肺栓塞可能是病患與環境因素交互作用下的結果。肺栓塞可藉由電腦斷層血管造影或者是核醫肺臟檢查診斷，陰性的D-dimer值表示急性肺栓塞或深靜脈血栓可能性不大。抗凝血劑的治療，有助預防早期死亡、症狀復發及致死性心房撲動。新型抗凝血劑在預防靜脈血栓的症狀或致命的復發是有效的和安全的。

關鍵字

急性肺栓塞 ； 靜脈血栓栓塞症 ； 抗凝治療

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