{"id":8331,"date":"2026-03-20T15:19:37","date_gmt":"2026-03-20T07:19:37","guid":{"rendered":"https:\/\/dev.hkts.hku.yakoo.com.hk\/public-resources\/pulmonary-embolism\/"},"modified":"2026-03-26T09:49:14","modified_gmt":"2026-03-26T01:49:14","slug":"pulmonary-embolism","status":"publish","type":"page","link":"https:\/\/dev.hkts.hku.yakoo.com.hk\/zh-hans\/public-resources\/pulmonary-embolism\/","title":{"rendered":"\u80ba\u6813\u585e"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<h2 class=\"wp-block-heading\"><strong><strong><strong>\u6982\u89c8<\/strong><\/strong><\/strong><\/h2>\n\n\n\n<p>\u80ba\u6813\u585e\u662f\u4e00\u79cd\u5177\u9ad8\u5ea6\u5371\u9669\u6027\u7684\u533b\u7597\u6025\u75c7\u3002\u5f53\u4e0b\u80a2\u6df1\u5c42\u9759\u8109\u7684\u8840\u5757\u8131\u843d\uff0c\u968f\u8840\u6d41\u8fdb\u5165\u80ba\u52a8\u8109\u5e76\u9020\u6210\u963b\u585e\u65f6\uff0c\u4f1a\u4e25\u91cd\u5f71\u54cd\u80ba\u529f\u80fd\u5e76\u589e\u52a0\u5fc3\u810f\u8d1f\u8377\u3002<\/p>\n\n\n\n<p>\u672c\u624b\u518c\u65e8\u5728\u5e2e\u52a9\u60a8\u4e86\u89e3\u80ba\u6813\u585e\u7684\u98ce\u9669\u56e0\u7d20\u3001\u8fa8\u8bc6\u65e9\u671f\u75c7\u72b6\uff0c\u5e76\u638c\u63e1\u73b0\u884c\u7684\u8bca\u65ad\u4e0e\u6cbb\u7597\u5c16\u7aef\u6280\u672f\u3002\u900f\u8fc7\u65e9\u671f\u8b66\u89c9\u4e0e\u79d1\u5b66\u7ba1\u7406\uff0c\u6211\u4eec\u80fd\u6709\u6548\u9884\u9632\u8fd9\u7c7b\u81f4\u547d\u6027\u7684\u75c5\u75c7\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\" open><summary>\u6210\u56e0\u53ca\u98ce\u9669\u56e0\u7d20<\/summary>\n<ol class=\"wp-block-list\">\n<li>\u957f\u671f\u4e0d\u6d3b\u52a8\u8005\uff1a \u5367\u5e8a\u75c5\u60a3\u3001\u957f\u9014\u98de\u884c\u8005\uff08\u8d85\u8fc74\u5c0f\u65f6\uff09\u3001\u4e45\u5750\u529e\u516c\u5ba4\u8005\u3002<\/li>\n\n\n\n<li>\u533b\u7597\/\u624b\u672f\u540e\uff1a \u5c24\u5176\u662f\u9aa8\u79d1\uff08\u9acb\/\u819d\u5173\u8282\u7f6e\u6362\uff09\u3001\u764c\u75c7\u624b\u672f\u540e\u3002<\/li>\n\n\n\n<li>\u751f\u7406\u72b6\u51b5\uff1a \u80a5\u80d6\u3001\u9ad8\u9f84\uff08&gt;60\u5c81\uff09\u3001\u62bd\u70df\u3001\u6000\u5b55\u6216\u4ea7\u540e\u3002<\/li>\n\n\n\n<li>\u836f\u7269\u5f71\u54cd\uff1a \u4f7f\u7528\u907f\u5b55\u836f\u6216\u8377\u5c14\u8499\u8865\u5145\u7597\u6cd5\u3002<\/li>\n\n\n\n<li>\u81ea\u8eab\u514d\u75ab\u4e0e\u7cfb\u7edf\u6027\u75be\u75c5\uff1a\u7cfb\u7edf\u6027\u7ea2\u6591\u72fc\u75ae (Systemic Lupus Erythematosus)\u7b49\u6162\u6027\u708e\u75c7\u53ca\u6297\u78f7\u8102\u7efc\u5408\u75c7 (Anti-phospholipid syndrome)\r\n<\/li>\n\n\n\n<li>\u75c5\u53f2\uff1a\u5305\u62ec\u5fc3\u810f\u75c5\u3001\u95f4\u8d28\u6027\u80ba\u75c5\u3001\u65b0\u51a0\u80ba\u708e\u53ca\u66fe\u60a3\u80ba\u6813\u585e\u7b49\u3002<\/li>\n\n\n\n<li>\u9057\u4f20\u6027\u8840\u6db2\u75c5: \u51dd\u8840\u56e0\u5b50\u5f02\u5e38\u5982 Factor V Leiden \u7a81\u53d8, \u6297\u51dd\u7269 \u86cb\u767dC\u3001\u86cb\u767dS\u3001\u6297\u78f7\u8102\u6297\u4f53\u8d28\u7f3a\u4e4f\u5bfc\u81f4\u8eab\u4f53\u5931\u53bb\u62b5\u6321\u8840\u6813\u5f62\u6210\u7684\u80fd\u529b\u3002<\/li>\n\n\n\n<li>\u9759\u8109\u7ed3\u6784\u5f02\u5e38: \u53cd\u8986\u7684\u9759\u8109\u708e\u8bf1\u53d1\u6df1\u5c42\u8840\u6813\u5f62\u6210 \u3002\u6000\u5b55\u65f6\u5a74\u513f\u8ba9\u9759\u8109\u53d7\u538b\uff0c\u5bfc\u81f4\u4e0b\u80a2\u8840\u6d41\u53d7\u963b\uff0c\u6781\u6613\u5f62\u6210\u8840\u6813\u3002<\/li>\n<\/ol>\n\n\n\n<p><strong>\u80ba\u6813\u585e\u5982\u4f55\u5f71\u54cd\u8eab\u4f53<\/strong><\/p>\n\n\n\n<p>\u5f53\u8840\u6813\u963b\u585e\u80ba\u52a8\u8109\u65f6\uff0c\u4f1a\u5bf9\u8eab\u4f53\u9020\u6210\u591a\u91cd\u6253\u51fb\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u9996\u5148\uff0c\u80ba\u90e8\u6c14\u4f53\u4ea4\u6362\u53d7\u963b\uff1a\u8840\u6db2\u65e0\u6cd5\u6d41\u7ecf\u53d7\u963b\u7684\u80ba\u6ce1\uff0c\u5bfc\u81f4\u5438\u5165\u7684\u6c27\u6c14\u65e0\u6cd5\u8fdb\u5165\u8840\u6db2\uff0c\u9020\u6210\u8840\u6db2\u542b\u6c27\u91cf\u9aa4\u964d\u3002<\/li>\n\n\n\n<li>\u5176\u6b21\uff0c\u5fc3\u810f\u8d1f\u8377\u5267\u589e\uff1a\u4e3a\u4e86\u5c06\u8840\u6db2\u6324\u8fc7\u88ab\u5835\u585e\u7684\u8840\u7ba1\uff0c\u53f3\u5fc3\u5ba4\u5fc5\u987b\u627f\u53d7\u6781\u5927\u7684\u538b\u529b\uff0c\u8fd9\u53ef\u80fd\u5bfc\u81f4\u53f3\u5fc3\u5ba4\u6269\u5f20\u751a\u81f3\u6025\u6027\u8870\u7aed\u3002<\/li>\n\n\n\n<li>\u6700\u540e\uff0c\u53d7\u635f\u7684\u80ba\u7ec4\u7ec7\u53ef\u80fd\u56e0\u7f3a\u8840\u800c\u574f\u6b7b\uff0c\u5f15\u53d1\u5267\u70c8\u80f8\u75db\u3002<\/li>\n<\/ul>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>\u5e38\u89c1\u75c7\u72b6<\/summary>\n<p>\u5e38\u89c1\u75c7\u72b6\u53ca\u5f81\u5146\u5305\u62ec\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7a81\u53d1\u6027\u6c14\u4fc3\u3002<\/li>\n\n\n\n<li>\u80f8\u75db\uff0c\u5e38\u5728\u6df1\u547c\u5438\u6216\u54b3\u55fd\u65f6\u52a0\u91cd\u3002<\/li>\n\n\n\n<li>\u54af\u8840\u6216\u75f0\u4e2d\u5e26\u8840\u3002<\/li>\n\n\n\n<li>\u5fc3\u8df3\u52a0\u901f\u3002<\/li>\n\n\n\n<li>\u4e25\u91cd\u65f6\u53ef\u51fa\u73b0\u4f4e\u8840\u538b\u3001\u5934\u6655\u3001\u51b7\u6c57\u6216\u6655\u53a5\u3002<\/li>\n<\/ul>\n\n\n\n<p>\u7ea6\u6709 70% \u7684\u80ba\u6813\u585e\u6765\u81ea\u4e0b\u80a2\u6df1\u5c42\u9759\u8109\u8840\u6813\u3002\u5982\u53d1\u73b0\u5355\u4fa7\u5c0f\u817f\u80bf\u80c0\u3001\u538b\u75db\u3001\u53d1\u70ed\u6216\u53d1\u7ea2\uff0c\u5e94\u5c3d\u5feb\u6c42\u533b\u3002<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>\u8bca\u65ad<\/summary>\n<p>\u533b\u751f\u4f1a\u7ed3\u5408\u5f71\u50cf\u68c0\u67e5\u3001\u8840\u6db2\u68c0\u6d4b\u53ca\u4e34\u5e8a\u8bc4\u4f30\u6765\u8bca\u65ad\u80ba\u6813\u585e\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>CT Pulmonary Angiography (\u7535\u8111\u65ad\u5c42\u80ba\u52a8\u8109\u9020\u5f71)\uff1a<\/li>\n<\/ul>\n\n\n\n<p>\u6b64\u68c0\u67e5\u4f7f\u7528\u9759\u8109\u6ce8\u5c04\u5bf9\u6bd4\u5242\uff08\u663e\u5f71\u5242\uff09\u4e0e\u9ad8\u89e3\u6790\u5ea6\u7535\u8111\u65ad\u5c42\u626b\u63cf\uff08CT\uff09\u6765\u76f4\u63a5\u663e\u50cf\u80ba\u52a8\u8109\u3002\u5b83\u80fd\u6709\u6548\u8bc6\u522b\u8840\u6813\uff0c\u4f46\u6d89\u53ca\u8f90\u5c04\u98ce\u9669\u3002<\/p>\n\n\n\n<p><strong>\u66ff\u4ee3\u65b9\u6848\u4e0e\u8f85\u52a9\u68c0\u67e5\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80ba\u901a\u6c14\/\u704c\u6d41\u626b\u63cf (V\/Q Scan): \u9002\u7528\u4e8e\u5bf9\u663e\u5f71\u5242\u8fc7\u654f\u3001\u65e0\u6cd5\u63a5\u53d7\u9ad8\u5242\u91cf\u8f90\u5c04\uff08\u5982\u5b55\u5987\uff09\u6216\u80be\u529f\u80fd\u4e0d\u4f73\u7684\u60a3\u8005\u3002\u6b64\u68c0\u67e5\u4f1a\u5438\u5165\u5c11\u5242\u91cf\u65e0\u5bb3\u7684\u653e\u5c04\u6027\u6c14\u4f53\uff0c\u4ee5\u6807\u8bb0\u80ba\u90e8\u901a\u6c14\u826f\u597d\u7684\u533a\u57df\u5e76\u663e\u793a\u4e8e\u626b\u63cf\u4eea\u4e0a\u3002\u53e6\u4e00\u79cd\u653e\u5c04\u6027\u8ffd\u8e2a\u5242\u5219\u901a\u8fc7\u8840\u7ba1\u6ce8\u5c04\uff0c\u540c\u6837\u4f1a\u663e\u793a\u5728\u626b\u63cf\u4eea\u4e2d\u3002\u6b64\u68c0\u67e5\u65e8\u5728\u6bd4\u8f83\u80ba\u90e8\u300c\u6c14\u6d41\u300d\u4e0e\u300c\u8840\u6d41\u300d\u7684\u5e73\u8861\u3002\u5982\u679c\u4e24\u8005\u4e0d\u5339\u914d\uff0c\u5219\u6000\u7591\u4e3a\u80ba\u6813\u585e\u3002<\/li>\n\n\n\n<li>\u4e0b\u80a2\u591a\u666e\u52d2\u8d85\u97f3\u6ce2 (Doppler USG)\uff1a \u5bfb\u627e\u8840\u6813\u7684\u6765\u6e90\uff0c\u786e\u8ba4\u6709\u65e0\u6df1\u5c42\u9759\u8109\u8840\u6813\u3002<\/li>\n\n\n\n<li>\u8d85\u97f3\u6ce2\u5fc3\u810f\u68c0\u67e5(ECHO)\u7528\u4e8e\u8bc4\u4f30\u80ba\u6813\u585e\u7684\u4e25\u91cd\u7a0b\u5ea6\uff0c\u5c24\u5176\u9002\u7528\u4e8e\u75c5\u60c5\u4e0d\u7a33\u5b9a\u3001\u9700\u8981\u7d27\u6025\u4ecb\u5165\u7684\u60a3\u8005\u3002<\/li>\n\n\n\n<li>\u8840\u6db2\u68c0\u6d4b (Blood Tests)\uff1a\n<ul class=\"wp-block-list\">\n<li>D-Dimer\uff1a \u7528\u4e8e\u521d\u6b65\u6392\u9664\uff0c\u82e5\u7ed3\u679c\u4e3a\u9634\u6027\uff0c\u901a\u5e38\u4ee3\u8868\u6ca1\u6709\u8840\u6813\u3002<\/li>\n\n\n\n<li>\u7ee7\u53d1\u6027\u75c5\u56e0\u7b5b\u67e5\uff1a \u68c0\u6d4b\u86cb\u767dC\u3001\u86cb\u767dS\u3001\u6297\u78f7\u8102\u6297\u4f53\u7b49\uff0c\u4ee5\u6392\u67e5\u5148\u5929\u6027\u51dd\u8840\u529f\u80fd\u5f02\u5e38\u6216\u81ea\u4f53\u514d\u75ab\u75be\u75c5\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>\u4fb5\u5165\u6027\u6d4b\u8bd5(Invasive investigation)\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Catheter Pulmonary Angiography (\u5bfc\u7ba1\u80ba\u8840\u7ba1\u9020\u5f71\u672f): <\/li>\n<\/ul>\n\n\n\n<p>\u5f53\u6000\u7591\u80ba\u6813\u585e\u60a3\u8005\u7684\u4e3b\u8981\u80ba\u52a8\u8109\u53d7\u7d2f\u65f6\uff0c\u533b\u751f\u53ef\u80fd\u4f1a\u9009\u62e9\u4fb5\u5165\u6027\u5bfc\u7ba1\u80ba\u8840\u7ba1\u9020\u5f71\u672f\uff0c\u8fd9\u79cd\u65b9\u6cd5\u517c\u5177\u8bca\u65ad\u548c\u6cbb\u7597\u4f5c\u7528\u3002\u533b\u751f\u4f1a\u5c06\u5bfc\u7ba1\u63d2\u5165\u5927\u817f\u7684\u4e00\u6761\u5927\u9759\u8109\uff0c\u7136\u540e\u5c06\u5176\u63a8\u8fdb\u81f3\u9760\u8fd1\u5fc3\u810f\u4e3b\u8981\u8840\u7ba1\u7684\u4f4d\u7f6e\u3002\u900f\u8fc7\u5bfc\u7ba1\u6ce8\u5c04\u663e\u5f71\u5242\uff0c\u5e76\u900f\u8fc7\u5373\u65f6X \u5149\u6210\u50cf\u76f4\u63a5\u89c2\u5bdf\u8840\u6813\uff0c\u56e0\u6b64\u53ef\u4ee5\u7acb\u5373\u8fdb\u884c\u5e72\u9884\u6cbb\u7597\u3002<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>\u6cbb\u7597\u4e0e\u7ba1\u7406<\/summary>\n<p><strong>\u6cbb\u7597\u65f6\u95f4<\/strong><\/p>\n\n\n\n<p><em>\u6cbb\u7597\u65f6\u95f4\u7684\u957f\u77ed\u53d6\u51b3\u4e8e\u8840\u6813\u5f62\u6210\u7684\u539f\u56e0\u4ee5\u53ca\u590d\u53d1\u98ce\u9669\uff0c\u901a\u5e38\u4ecb\u4e8e 3 \u4e2a\u6708\u5230\u7ec8\u8eab\u670d\u836f\u4e0d\u7b49\u3002\u60a8\u7684\u533b\u751f\u4f1a\u6839\u636e\u60a8\u7684\u5065\u5eb7\u72b6\u51b5\u505a\u51fa\u4e13\u4e1a\u5efa\u8bae\u3002<\/em><\/p>\n\n\n\n<p><strong>\u5e38\u89c1\u6cbb\u7597\u836f\u7269<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u4f4e\u5206\u5b50\u91cf\u809d\u7d20 (LMWH \/ Enoxaparin)<br>\u8fd9\u662f\u4e00\u79cd\u901f\u6548\u578b\u7684\u6297\u51dd\u8840\u5242\uff0c\u900f\u8fc7\u76ae\u4e0b\u5c0f\u9488\u6ce8\u5c04\u7ed9\u836f\u3002<br>\u7528\u9014\uff1a \u5e38\u5728\u4f4f\u9662\u671f\u95f4\u4f7f\u7528\uff0c\u7528\u4e8e\u5feb\u901f\u6cbb\u7597\u6216\u9884\u9632\u8840\u6813\u5f62\u6210\u3002<\/li>\n\n\n\n<li>\u65b0\u578b\u53e3\u670d\u6297\u51dd\u8840\u5242 (NOACs)<br><em>\u5e38\u89c1\u836f\u7269\u5305\u62ec\uff1a\u963f\u54cc\u6c99\u73ed (Apixaban)\u3001\u5229\u4f10\u6c99\u73ed (Rivaroxaban)\u3001\u827e\u591a\u6c99\u73ed (Edoxaban)\u3001\u8fbe\u6bd4\u52a0\u7fa4 (Dabigatran)<\/em><br>\u4f18\u70b9\uff1a \u4e0e\u4f20\u7edf\u836f\u7269\u4e0d\u540c\uff0c\u8fd9\u7c7b\u65b0\u836f\u4e0d\u9700\u8981\u5b9a\u671f\u62bd\u8840\u68c0\u67e5\uff08\u9a8c INR\uff09\uff0c\u4e5f\u6ca1\u6709\u7279\u6b8a\u7684\u996e\u98df\u9650\u5236\uff08\u60a8\u53ef\u4ee5\u7167\u5e38\u996e\u98df\uff09\u3002<br>\u7279\u6027\uff1a \u5b83\u4eec\u975e\u5e38\u6709\u6548\uff0c\u4e14\u5b89\u5168\u6027\u901a\u5e38\u9ad8\u4e8e\u4f20\u7edf\u836f\u7269\u3002<\/li>\n\n\n\n<li>\u534e\u6cd5\u6797 (Warfarin)<br>\u8fd9\u662f\u4e00\u79cd\u4f20\u7edf\u7684\u53e3\u670d\u6297\u51dd\u8840\u5242\u3002<br>\u6ce8\u610f\u4e8b\u9879\uff1a\u4f7f\u7528\u6b64\u836f\u9700\u8981\u5b9a\u671f\u56de\u8bca\u62bd\u8840\u76d1\u6d4b\u51dd\u8840\u529f\u80fd\uff0c\u4e14\u996e\u98df\u4e2d\u9700\u4fdd\u6301\u7a33\u5b9a\u7684\u7ef4\u751f\u7d20 K \u6444\u53d6\uff08\u5982\u6df1\u7eff\u8272\u852c\u83dc\u9700\u5b9a\u91cf\u98df\u7528\uff0c\u4e0d\u53ef\u7a81\u7136\u66b4\u589e\u6216\u4e0d\u5403\uff09\u3002<br>\u4e3a\u4f55\u9009\u62e9\u5b83\uff1a\u5c3d\u7ba1\u9650\u5236\u8f83\u591a\uff0c\u4f46\u5bf9\u4e8e\u60a3\u6709\u6297\u78f7\u8102\u75c7\u5019\u7fa4 (APS) \u6216\u4e25\u91cd\u80be\u529f\u80fd\u53d7\u635f\u7684\u60a3\u8005\uff0c\u5b83\u80fd\u63d0\u4f9b\u6bd4\u65b0\u836f\u66f4\u5353\u8d8a\u7684\u4fdd\u62a4\u6548\u679c\u3002<\/li>\n<\/ol>\n\n\n\n<p><strong>\u8fdb\u9636\u4ecb\u5165\u6cbb\u7597\uff1a<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5168\u8eab\u6027\u8840\u6813\u6eb6\u89e3\u6cbb\u7597 (Systemic Thrombolysis)\r\n\u5f53\u6807\u51c6\u7684\u6297\u51dd\u8840\u836f\u7269\uff08\u8840\u4f53\u4e0d\u6eb6\u5242\uff09\u6548\u679c\u4e0d\u4f73\uff0c\u4e14\u533b\u9662\u65e0\u6cd5\u8fdb\u884c\u5fae\u521b\u6216\u624b\u672f\u6e05\u9664\u8840\u6813\u65f6\uff0c\u533b\u751f\u53ef\u80fd\u4f1a\u4f7f\u7528\u300c\u5f3a\u529b\u8840\u6813\u6eb6\u89e3\u5242\u300d\u3002\r\n\u505a\u6cd5\uff1a \u900f\u8fc7\u9759\u8109\u6ce8\u5c04\u836f\u7269\u3002\r\n\u8003\u91cf\uff1a \u5728\u6cbb\u7597\u524d\uff0c\u533b\u751f\u4f1a\u4e25\u8c28\u8bc4\u4f30\u60a8\u7684\u51fa\u8840\u98ce\u9669\uff0c\u786e\u4fdd\u6cbb\u7597\u5b89\u5168\u6027\u3002\r\n<\/li>\n\n\n\n<li>\u5bfc\u7ba1\u5fae\u521b\u6cbb\u7597 (Catheter-based Thrombectomy\/Thrombolysis)\r\n\u82e5\u8840\u6813\u4e25\u91cd\u5bfc\u81f4\u8840\u538b\u4e0d\u7a33\uff0c\u533b\u751f\u4f1a\u91c7\u53d6\u5fae\u521b\u5bfc\u7ba1\u6280\u672f\u3002\r\n\u505a\u6cd5\uff1a \u5c06\u4e00\u6839\u6781\u7ec6\u7684\u5bfc\u7ba1\uff08\u5c0f\u7ba1\u5b50\uff09\u76f4\u63a5\u5f15\u5bfc\u81f3\u8840\u6813\u4f4d\u7f6e\u3002\r\n\u529f\u80fd\uff1a \u533b\u751f\u53ef\u4ee5\u7ecf\u7531\u5bfc\u7ba1\u76f4\u63a5\u5728\u8840\u6813\u5904\u7cbe\u51c6\u7ed9\u836f\uff0c\u6216\u4f7f\u7528\u7279\u6b8a\u8bbe\u5907\u5c06\u8840\u6813\u7269\u7406\u6027\u5730\u300c\u62bd\u5438\u300d\u6216\u300c\u7c89\u788e\u300d\u6392\u51fa\u3002<\/li>\n\n\n\n<li>\u5916\u79d1\u8840\u6813\u6e05\u9664\u624b\u672f (Surgical Thrombectomy)\r\n\u5728\u8840\u6813\u5de8\u5927\u4e14\u5371\u53ca\u751f\u547d\u7684\u7d27\u6025\u60c5\u51b5\u4e0b\uff0c\u82e5\u5176\u4ed6\u6cbb\u7597\u65b9\u5f0f\u65e0\u6548\u6216\u4e0d\u9002\u7528\uff0c\u5219\u9700\u8fdb\u884c\u5916\u79d1\u624b\u672f\u3002\r\n\u505a\u6cd5\uff1a \u7531\u5916\u79d1\u533b\u751f\u8fdb\u884c\u624b\u672f\u76f4\u63a5\u8fdb\u5165\u80ba\u52a8\u8109\uff0c\u624b\u52a8\u79fb\u9664\u963b\u585e\u7269\u3002\r\n\u91cd\u8981\u6027\uff1a \u867d\u7136\u8fd9\u662f\u8f83\u5927\u578b\u7684\u624b\u672f\uff0c\u4f46\u5728\u5173\u952e\u65f6\u523b\u80fd\u8fc5\u901f\u6062\u590d\u8840\u6d41\uff0c\u51cf\u8f7b\u5fc3\u810f\u8d1f\u62c5\uff0c\u662f\u62ef\u6551\u751f\u547d\u7684\u6700\u540e\u4e00\u9053\u9632\u7ebf\u3002\r\n<\/li>\n<\/ul>\n\n\n\n<p><strong>\u66ff\u4ee3\u7597\u6cd5<\/strong><\/p>\n\n\n\n<p>\u505a\u6cd5\uff1a\u4e0b\u8154\u9759\u8109\u6ee4\u5668\u662f\u4e00\u79cd\u5fae\u5c0f\u7684\u4f1e\u72b6\u88c5\u7f6e\uff0c\u690d\u5165\u4eba\u4f53\u4e3b\u8981\u9759\u8109\u4e2d\uff0c\u7528\u4e8e\u62e6\u622a\u8840\u6813\uff0c\u9632\u6b62\u8840\u6813\u5230\u8fbe\u80ba\u90e8\u3002\r\n\u8003\u91cf\uff1a\u901a\u5e38\u5bf9\u4e8e\u51fa\u8840\u98ce\u9669\u9ad8\u3001\u4e0d\u9002\u5408\u63a5\u53d7\u6297\u51dd\u8840\u6cbb\u7597\u3001\u5c3d\u7ba1\u63a5\u53d7\u6297\u51dd\u8840\u6cbb\u7597\u4ecd\u53cd\u8986\u51fa\u73b0\u8840\u6813\u6216\u56e0\u6297\u51dd\u8840\u6cbb\u7597\u526f\u4f5c\u7528\u7684\u60a3\u8005\uff0c\u533b\u5e08\u53ef\u80fd\u4f1a\u5efa\u8bae\u7684\u66ff\u4ee3\u7597\u6cd5\u3002<\/p>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>\u5e76\u53d1\u75c7<\/summary>\n<p>\u77ed\u671f\u5e76\u53d1\u75c7: (\u5934\u4e09\u6708\u5185)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6b7b\u4ea1\uff1a\u8f83\u5927\u578b\u7684\u8840\u5757\u4f1a\u963b\u585e\u5fc3\u810f\u8840\u6d41\uff0c\u5bfc\u81f4\u5fc3\u8df3\u505c\u6b62\uff08\u5fc3\u810f\u9aa4\u505c\uff09\u3002\u82e5\u672a\u5f97\u5230\u53ca\u65f6\u7684\u533b\u6cbb\uff0c\u53ef\u4ee5\u81f4\u547d\u3002\u4e8b\u5b9e\u4e0a\uff0c\u672a\u7ecf\u6cbb\u7597\u7684\u80ba\u6813\u585e\uff08PE\uff09\u60a3\u8005\u4e2d\uff0c\u8fd1 30% \u7684\u4eba\u65e0\u6cd5\u5e78\u5b58\u3002<\/li>\n\n\n\n<li>\u5fc3\u810f\u8870\u7aed\uff1a \u80ba\u90e8\u8840\u538b\u5e73\u65f6\u7cfb\u7ef4\u6301\u4f4e\u8840\u538b\u72b6\u6001\u3002\u8840\u5757\u4f1a\u9020\u6210\u300c\u585e\u8f66\u300d\uff08\u74f6\u9888\u6548\u5e94\uff09\uff0c\u8feb\u4f7f\u5fc3\u810f\u5fc5\u987b\u66f4\u8d39\u529b\u5730\u8fd0\u4f5c\u624d\u80fd\u5c06\u8840\u6db2\u6cf5\u5165\u3002\u4e45\u800c\u4e45\u4e4b\uff0c\u8fd9\u79cd\u6301\u7eed\u7684\u538b\u529b\u4f1a\u524a\u5f31\u5fc3\u808c\uff0c\u8fdb\u800c\u5bfc\u81f4\u5fc3\u810f\u8870\u7aed\u3002<\/li>\n\n\n\n<li>\u80ba\u90e8\u7ec4\u7ec7\u53d7\u635f\uff1a\u5982\u679c\u8840\u5757\u5207\u65ad\u4e86\u80ba\u90e8\u7ec4\u7ec7\u7684\u8840\u6db2\u4f9b\u5e94\uff0c\u53ef\u80fd\u4f1a\u5bfc\u81f4\u6c38\u4e45\u6027\u7684\u75a4\u75d5\u6216\u7ec4\u7ec7\u574f\u6b7b\u3002\u8fd9\u53ef\u80fd\u4f1a\u5f15\u53d1\u80f8\u53e3\u5267\u75db\u548c\u54b3\u8840\u3002<\/li>\n\n\n\n<li>\u8840\u6813\u590d\u53d1\uff1a \u8840\u6813\u590d\u53d1\u7684\u98ce\u9669\u5728\u53d1\u4f5c\u540e\u7684 3 \u4e2a\u6708\u5185\u6700\u9ad8\u3002\u4f7f\u7528\u6297\u51dd\u8840\u5242\uff08\u4fd7\u79f0\u8584\u8840\u836f\uff09\u6709\u52a9\u4e8e\u9884\u9632\u518d\u6b21\u53d1\u751f\u3002<\/li>\n\n\n\n<li>\u51fa\u8840\u98ce\u9669\uff1a \u6297\u51dd\u8840\u836f\u7269\u6700\u5e38\u89c1\u7684\u526f\u4f5c\u7528\u662f\u51fa\u8840\u3002\u8fd9\u901a\u5e38\u53d1\u751f\u5728\u6d88\u5316\u7cfb\u7edf\u4e2d\uff0c\u5f15\u8d77\u80c3\u75db\u6216\u75b4\u8840\u3002\u867d\u7136\u8fd9\u542c\u8d77\u6765\u5f88\u5413\u4eba\uff0c\u4f46\u51fa\u8840\u672c\u8eab\u662f\u53ef\u4ee5\u6cbb\u7597\u7684\uff0c\u4e14\u5176\u5371\u9669\u6027\u8fdc\u4f4e\u4e8e\u80ba\u90e8\u5faa\u73af\u4e2d\u7684\u8840\u6813\u3002<\/li>\n<\/ul>\n\n\n\n<p>\u957f\u671f\u5e76\u53d1\u75c7\uff1a(\u4e09\u6708\u540e)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>CTEPH\uff08\u6162\u6027\u8840\u6813\u6813\u585e\u6027\u80ba\u9ad8\u538b\uff09\uff1a \u82e5\u8840\u6813\u672a\u80fd\u5b8c\u5168\u6eb6\u89e3\uff0c\u8840\u7ba1\u58c1\u4f1a\u5f62\u6210\u7622\u75d5\u7ec4\u7ec7\uff0c\u5bfc\u81f4\u8840\u7ba1\u6c38\u4e45\u6027\u6536\u7a84\uff0c\u4ece\u800c\u5f15\u53d1\u80ba\u90e8\u8840\u538b\u6301\u7eed\u4e0a\u5347\u3002\u6b64\u60c5\u51b5\u4f1a\u5bfc\u81f4\u957f\u671f\u547c\u5438\u56f0\u96be\uff0c\u6700\u7ec8\u53ef\u80fd\u6f14\u53d8\u6210\u5fc3\u810f\u8870\u7aed\u3002\u786e\u8bca\u65b9\u9762\uff0c\u4e3b\u8981\u5728\u75c5\u53d1 3 \u4e2a\u6708\u540e\u8fdb\u884c\u8d85\u58f0\u6ce2\u5fc3\u810f\u68c0\u67e5 (ECHO) \u4f5c\u521d\u6b65\u8bc4\u4f30\uff1b\u5bf9\u4e8e\u4e34\u5e8a\u8868\u73b0\u4e0d\u660e\u786e\u7684\u4e2a\u6848\uff0c\u5219\u9700\u8fdb\u4e00\u6b65\u8fdb\u884c\u5165\u4fb5\u6027\u53f3\u5fc3\u5bfc\u7ba1\u68c0\u67e5(Right heart catheterization)\u4ee5\u4f5c\u5b9a\u6848\u3002<\/li>\n\n\n\n<li>\u80ba\u6813\u585e\u540e\u75c7\u5019\u7fa4 (Post-PE Syndrome)\uff1a \u5c3d\u7ba1\u80ba\u6813\u585e\u5df2\u63a5\u53d7\u6cbb\u7597\uff0c\u90e8\u5206\u60a3\u8005\u4ecd\u53ef\u80fd\u56e0\u6b8b\u7559\u8840\u6813\u5f71\u54cd\u80ba\u90e8\u4f9b\u8840\uff0c\u51fa\u73b0\u6c14\u4fc3\u3001\u6655\u53a5\u3001\u75b2\u5026\u3001\u80f8\u75db\u53ca\u8fd0\u52a8\u8010\u53d7\u529b\u4e0b\u964d\u7b49\u75c7\u72b6\u3002\u533b\u751f\u4e00\u822c\u4f1a\u900f\u8fc7\u529f\u80fd\u6027\u6d4b\u8bd5\uff0c\u4f8b\u5982\u5fc3\u80ba\u8fd0\u52a8\u6d4b\u8bd5 (CPET) \u6216\u538b\u529b\u5fc3\u810f\u8d85\u58f0\u6ce2 (Stress ECHO) \u6765\u8bca\u65ad\u3002<\/li>\n<\/ul>\n<\/details>\n\n\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>\u9884\u9632<\/summary>\n<ul class=\"wp-block-list\">\n<li>\u7269\u7406\u9884\u9632\uff1a \u7a7f\u6234\u533b\u7528\u7ea715-30mmHg\u538b\u529b\u889c\u4ee5\u4fc3\u8fdb\u9759\u8109\u56de\u6d41\u3002\u5bf9\u4e8e\u9ad8\u98ce\u9669\u60a3\u8005\u6216\u65e0\u6cd5\u8010\u53d7\u538b\u529b\u889c\u7684\u4eba\u58eb\uff0c\u53ef\u8003\u8651\u4f7f\u7528\u95f4\u6b47\u6027\u5145\u6c14\u538b\u529b\u6cf5 (IPC) \u4f5c\u4e3a\u66ff\u4ee3\u65b9\u6848\uff0c\u5229\u7528\u673a\u68b0\u538b\u529b\u5e2e\u52a9\u8840\u6db2\u5faa\u73af\u3002<\/li>\n\n\n\n<li>\u6c34\u5206\u8865\u5145\uff1a \u6444\u53d6\u5145\u8db3\u6c34\u5206\u4ee5\u964d\u4f4e\u8840\u6db2\u7c98\u7a20\u5ea6\uff1b\u540c\u65f6\u5e94\u907f\u514d\u996e\u7528\u8fc7\u91cf\u542b\u5496\u5561\u56e0\u7684\u996e\u6599\u6216\u9152\u7cbe\uff0c\u4ee5\u514d\u5bfc\u81f4\u4f53\u5185\u6c34\u5206\u6d41\u5931\uff08\u8131\u6c34\uff09\u3002<\/li>\n\n\n\n<li>\u5b9a\u65f6\u6d3b\u52a8\uff1a\u624b\u672f\u540e\u7684\u60a3\u8005\u5e94\u6309\u7167\u533b\u751f\u6307\u793a\u5c3d\u65e9\u4e0b\u5e8a\u6d3b\u52a8\u3002\u81f3\u4e8e\u9700\u957f\u671f\u4e45\u5750\u7684\u5de5\u4f5c\u8005\uff0c\u5efa\u8bae\u6bcf 30 \u81f3 60 \u5206\u949f\u7ad9\u7acb\u5e76\u6d3b\u52a8 5 \u81f3 10 \u5206\u949f\uff0c\u4ee5\u9632\u6b62\u8840\u6db2\u6de4\u6ede<\/li>\n\n\n\n<li>\u811a\u8e1d\u8fd0\u52a8\uff1a \u5750\u7740\u65f6\u53ef\u9891\u7e41\u5730\u505a\u300c\u52fe\u811a\u80cc\u300d\u52a8\u4f5c\uff08Ankle Pumps,\u4ee5\u6bcf\u5206\u949f15-20\u6b21\u7684\u9891\u7387\u6536\u7f29\u5c0f\u817f\u808c\u8089\uff0c\u6301\u7eed5\u5206\u949f\uff0c\u4ee5\u4fc3\u8fdb\u8840\u6db2\u5faa\u73af\u548c\u4e3b\u52a8\u6324\u538b\u5c0f\u817f\u808c\u8089\u5e2e\u52a9\u56de\u6d41\u3002<\/li>\n\n\n\n<li>\u836f\u7269\u6297\u51dd\u6cbb\u7597 (Anticoagulation): \u7528\u4f4e\u5206\u5b50\u91cf\u809d\u7d20\u9884\u9632\u6df1\u5c42\u9759\u8109\u8840\u6813\u5f62\u6210\uff08\u4e3b\u8981\u662f\u9ad8\u98ce\u9669\u4eba\u58eb\u5728\u957f\u9014\u98de\u673a\u524d\u3001\u4f4f\u9662\u75c5\u4eba\u3001\u80ba\u6813\u585e\u5386\u53f2\u3001\u764c\u75c7\u6216\u65b0\u51a0\u80ba\u708e\u60a3\u8005\uff09<\/li>\n<\/ul>\n<\/details>\n<\/div>\n<\/div>\n\n\n\n<p><em>\u6700\u540e\u66f4\u65b0\uff1a2026\u5e743\u6708<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6982\u89c8 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