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目的研究在腔静脉滤器保护下,进行下肢急性深静脉溶栓治疗的临床应用。方法对13例下肢急性深静脉血栓患者,置入滤器后进行导管内溶栓治疗,观察随访临床症状变化和有无严重并发症出现,并分析疗效。结果溶栓结果,6例完全溶解,7例部分溶解,溶栓时间平均为72.6h。溶栓治疗过程中未出现症状性肺动脉栓塞等严重并发症。结论在腔静脉滤器保护下进行下肢深静脉血栓溶栓治疗是一种安全性高、疗效显著的治疗手段。
Objective To study the clinical application of acute deep vein thrombolysis in lower extremity under the protection of vena cava filter. Methods Thirteen patients with acute deep venous thrombosis of lower extremity were treated with catheterization and thrombolysis after catheterization. The changes of clinical symptoms and the presence or absence of serious complications were observed and the curative effect was analyzed. Results Thrombolysis results, 6 cases completely dissolved, 7 cases partially dissolved, the average thrombolytic time was 72.6h. Thrombolytic therapy without symptomatic pulmonary embolism and other serious complications. Conclusions Thrombolysis of lower extremity venous thrombosis under the protection of vena cava filter is a safe and effective treatment.