Kev phais thrombectomy yog ib txoj hauv kev uas tuaj yeem tshem tawm thrombus sai sai hauv lub sijhawm luv luv.Tom qab cov thrombus raug tshem tawm, cov hlab ntsha uas thaiv yuav rov qab los rau patency, thiab qhov kev cia siab ntev ntev tuaj yeem ua tiav los ntawm kev tshem tawm tag nrho cov thrombus los ntawm kev phais.Vim muaj kev raug mob loj, los ntshav thiab teeb meem ntawm kev phais, tsis muaj ntau lub tsev kho mob ua kev tshawb fawb soj ntsuam.
Nyob rau hauv xyoo tas los no, kev siv cov tshuaj thrombolytic thiab kev loj hlob sai ntawm intravascular technology ua rau lub tswv yim ntawm "thrombus clearance" los ua.Raws li kev kho mob anticoagulation, thrombolytic therapy tuaj yeem suav tau tias yog qhov kev xaiv zoo thiab muaj txiaj ntsig zoo, uas yog tsim rau cov neeg mob DVT uas tsis suav nrog thrombolytic contraindications.
Tam sim no, urokinase (UK) thiab alteplase yog cov feem ntau siv cov neeg ua haujlwm fibrinolytic hauv DVT kev kho mob thrombolytic hauv tsev thiab txawv teb chaws.Kev kho mob thrombolytic tuaj yeem ua kom thrombolytic recanalization, tiv thaiv kev ua haujlwm ntawm lub valve, txo qhov tshwm sim ntawm PTS, thiab kev txhim kho ntawm cov neeg mob lub neej zoo muaj feem cuam tshuam nrog qib ntawm thrombolysis.Kev kho thrombolytic tuaj yeem muab faib ua peripheral venous thrombolysis (systemic thrombolysis) thiab catheter ncaj qha thrombolysis (CDT).
Nrog rau kev txhim kho cov cuab yeej siv thiab thev naus laus zis, CDT muaj cov txiaj ntsig zoo hauv kev kho DVT.Nws ncaj qha hu rau lub zos thrombus nrog cov tshuaj thrombolytic, uas ua rau kom cov concentration ntawm thrombolytic tshuaj nyob ib ncig ntawm lub thrombus.Qhov chaw sib cuag ntawm cov tshuaj thrombolytic thiab thrombus yog qhov loj dua li peripheral venous thrombolysis.Kev kho CDT ua rau muaj txiaj ntsig ntau ntxiv ntawm cov tshuaj ua rau cov thrombus, nce vascular recanalization tus nqi tom qab thrombolysis, thiab cov nyhuv curative zoo dua li peripheral venous thrombolysis.
CDT tau dhau los ua txoj kev siv thrombolytic tshaj plaws nyob rau tam sim no, uas tuaj yeem txo cov teeb meem los ntshav thaum ua kom thrombolysis.Pharmaceutical mechanical thrombectomy (PMCT) yog ib qho khoom siv nrog kev sib hloov ntawm lub taub hau kawg, uas tuaj yeem txiav cov thrombus thiab nqus nws mus rau hauv lub catheter los ntawm qhov tsis zoo siab, thiab tom qab ntawd muab cov tshuaj CDT, uas tuaj yeem txo cov koob tshuaj thrombolytic thiab lub sijhawm kho ntawm cov tshuaj. 50%.
Cov txiaj ntsig ntawm thrombus tshem tawm ntawm PMCT thiab CDT zoo ib yam, tab sis PMCT muaj kev nyab xeeb dua, ua kom thrombus recanalization, txo lub sij hawm kho, txo cov kev siv cov tshuaj thrombolytic thiab los ntshav, txo qhov tshwm sim ntawm PTS, txo cov hnub hauv tsev kho mob thiab txo cov kev siv tshuaj thrombolytic. nqi tsev kho mob.
Kev tshawb fawb Cavent yog ib qho kev tshawb fawb randomized tswj ntawm tus qauv kev kho mob anticoagulant ua ke nrog CDT thiab cov txheej txheem anticoagulant kho ntawm mob iliofemoral sib sib zog nqus vein thrombosis, uas tau nrhiav cov neeg mob los ntawm 20 lub tsev kho mob hauv Northwest Norway.
Cov txiaj ntsig ntawm txoj kev tshawb no qhia tau hais tias piv nrog kev kho cov tshuaj tiv thaiv coagulant ib leeg, kev kho CDT ua ke tuaj yeem txo qhov kev pheej hmoo ntawm PTS, tab sis me ntsis nce qhov kev pheej hmoo los ntshav.Txawm li cas los xij, piv nrog cov kab mob thrombolysis, qhov kev pheej hmoo ntawm los ntshav zoo li tau txais.
Qhov txiaj ntsig no txhawb nqa cov lus pom zoo ntawm cov lus qhia tsis ntev los no uas ua ke CDT kev kho mob tuaj yeem txiav txim siab hauv cov neeg mob uas muaj cov kab mob sib sib zog nqus tob tob thiab muaj kev pheej hmoo los ntshav tsawg.
Tuam txhab profile
Covtuam txhabmuaj nws tus kheejHoobkasthiab pab neeg tsim khoom, thiab tau koom nrog hauv kev tsim khoom thiab muag cov khoom kho mob rau lub sijhawm ntev.Tam sim no peb muaj cov khoom lag luam hauv qab no.
①Cua compression suit(cua compression ceg,compression khau boots,cua compression garmentsand rau lub xub pwg nyometc) thiabDVT series.
②Airway clearance system tsho khuam
③Tourniquetcuff
④ Kub thiab txiasKev kho mob Pads(pob pob taws pob taws, pob luj tshib, pob dej khov rau hauv caug, lub tes tsho txias compression, pob txias rau lub xub pwg thiab lwm yam)
⑤Lwm yam zoo li TPU cov khoom siv pej xeem (inflatable pas dej ua ke,anti-bedsore inflatable txaj,txias kho lub hauv caug tshuabect)
Post lub sij hawm: Sep-30-2022