Qhov sib txawv tseem ceeb ntawm qhov loj thiab submassive pulmonary embolism yog qhov loj pulmonary embolism yog qhov cuam tshuam ntawm cov hlab ntsha pulmonary nrog rau lub cev hypotension, thaum submassive pulmonary embolism yog qhov mob uas cov tib neeg raug kev txom nyem los ntawm pulmonary embolism nrog txoj cai ventricular necrosis lossis myo. tab sis tsis muaj qhov systemic hypotension.
Pulmonary embolism yog ib yam kab mob uas tshwm sim los ntawm kev txhaws ntawm cov hlab ntsha pulmonary hauv lub ntsws vim muaj cov ntshav txhaws los ntawm cov hlab ntsha sib sib zog nqus hauv ob txhais ceg uas mus txog rau lub ntsws. Cov hlab ntsha no yuav tiv thaiv cov ntshav ntws mus rau lub ntsws thiab ua rau muaj kev phom sij rau lub neej hnyav.
Pulmonary Embolism yog dab tsi?
Loj pulmonary embolism yog qhov cuam tshuam ntawm cov hlab ntsha pulmonary tshaj li 50% ntawm qhov chaw hla ntu, ua rau mob plawv tsis ua hauj lwm los ntawm txoj cai ventricular overload nrog lub cev hypotension. Cov mob no muaj kev tuag ntau. Nrog rau kev kuaj mob sai thiab kho sai, qhov kev pheej hmoo raug txo.
Daim duab 01: Loj Pulmonary Embolism
Systemic hypotension yog qhov tseem ceeb ntawm cov hlab ntsws embolism loj heev. Systemic hypotension txhais tau tias yog systolic arterial ntshav siab, uas yog tsawg dua 90 mmHb, los yog txo cov ntshav siab systolic arterial rau 15 min nrog tus nqi ntawm 40 mmHg. Tsis tas li ntawd, kev poob siab vim cov ntaub so ntswg hypoperfusion thiab hypoxia, nrog rau ib theem ntawm kev hloov siab lees txim, kuj yog ib qho me me nyob rau hauv cov ntsiab lus ntawm loj pulmonary embolism. Cov neeg mob pulmonary embolism loj heev yuav tsum tau txais kev cawmdim tam sim ntawd hauv kev tswj xyuas mob hnyav. Tus neeg mob cov cim tseem ceeb thiab cov cim qhia ntawm kev poob siab hauv kev kho mob yuav txiav txim siab txog kev kho mob thawj zaug.
Dab tsi yog Submassive Pulmonary Embolism?
Submassive pulmonary embolism yog tus mob uas cov tib neeg raug kev txom nyem los ntawm pulmonary embolism nrog txoj cai ventricular dysfunction lossis myocardial necrosis tab sis tsis muaj lub cev hypotension. Submassive pulmonary embolism ua rau lub cev tsis ua haujlwm. Piv nrog rau qhov loj pulmonary embolism, submassive pulmonary embolism ua rau muaj kev pheej hmoo me me hauv qhov hnyav thiab kev tuag. Txawm hais tias cov neeg mob tsim lub cev tsis ua haujlwm, lawv muaj hemodynamically ruaj khov thaum nthuav tawm cov tsos mob.
Daim duab 02: Pulmonary Embolism
Kev tswj kab mob yog qhov yooj yim piv nrog tsis muaj kev xav tau tam sim rau resuscitation lossis kev saib xyuas ntawm cov kev tswj xyuas mob hnyav. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tau soj ntsuam cov tsos mob thiab ua raws li kev kho mob. Thrombolytics yog thawj hom kev kho mob uas muaj rau kev kho thawj zaug. Nrog rau qhov pib ntawm hemodynamic instability thiab kev ua phem ntawm kev tshwm sim, kev siv cov thrombolytics muaj kev pheej hmoo vim lawv tuaj yeem ua rau muaj kev pheej hmoo siab los ntshav. Parenteral thiab qhov ncauj anticoagulants yog lwm cov kev xaiv tshuaj rau kev kho mob.
Dab tsi yog qhov zoo sib xws ntawm Loj thiab Submassive Pulmonary Embolism?
- Loj thiab submassive pulmonary embolism tshwm sim vim muaj kev cuam tshuam ntawm cov hlab ntsha ntawm lub ntsws.
- ntshav txhaws yog lub hauv paus ua rau txhaws ntawm ob qho tib si.
- Lawv ua rau muaj mob hnyav heev.
- Ob hom no tiv thaiv cov ntshav ntws mus rau lub ntsws.
- Tshwj tsis yog cov ntshav txhaws, ib feem ntawm cov qog nqaij hlav, cov pa npuas, thiab cov rog los ntawm ib feem ntawm cov pob txha ntev tuaj yeem ua rau lub ntsws embolism.
Qhov txawv ntawm qhov loj thiab submassive Pulmonary Embolism yog dab tsi?
Qhov sib txawv tseem ceeb ntawm qhov loj thiab submassive pulmonary embolism yog qhov muaj cov ntshav siab los coj tawm cov tsos mob. Thaum lub sij hawm loj pulmonary embolism, hypotension ua rau mob plawv tsis ua hauj lwm los ntawm txoj cai ventricular overload, thaum lub sij hawm submassive pulmonary embolism, hypotension tsis ua rau txoj cai ventricular dysfunction lossis myocardial necrosis. Ntxiv mus, loj pulmonary embolism muaj kev tuag ntau dua li submassive pulmonary embolism.
Cov hauv qab no nthuav tawm qhov sib txawv ntawm qhov loj thiab submassive pulmonary embolism hauv daim ntawv tabular rau ib sab ntawm kev sib piv.
Summary – Massive vs Submassive Pulmonary Embolism
Pulmonary embolism yog ib yam kab mob loj heev uas tshwm sim los ntawm kev txhaws ntawm cov hlab ntsha hauv lub ntsws vim muaj ntshav txhaws. Nws yog ob hom: loj pulmonary embolism thiab submassive pulmonary embolism. Loj pulmonary embolism yog tus cwj pwm los ntawm kev loj hlob ntawm cov kab mob hypotension. Submassive pulmonary embolism tsis tsim cov kab mob hypotension. Qhov mob hnyav tshaj plaws uas muaj kev tuag ntau yog pulmonary embolism loj heev. Nrog kev kho mob sai, qhov kev pheej hmoo ntawm kev tuag yuav txo tau. Mob plawv tsis ua hauj lwm thiab ventricular dysfunction los yog myocardial necrosis yog cov teebmeem ntawm loj heev thiab submassive pulmonary embolism, feem. Yog li, qhov no qhia txog qhov sib txawv ntawm qhov loj thiab submassive pulmonary embolism.
