Acute pulmonary thromboembolism (PTE) is a disease with a high mortality rate. Although most patients can recover after timely treatment and intervention during the acute phase, some patients may still have long-term right ventricular dysfunction (RVD), which affects the quality of life and long-term prognosis. A comprehensive understanding of the factors, diagnosis and treatment and management of persistent RVD after acute PTE is crucial for optimizing long-term management for PTE patients and improving their prognosis. This article reviews recent advances in the epidemiology, factors, evaluation, management and prognosis of persistent RVD after acute PTE.
急性肺血栓栓塞症(PTE)致死率高。尽管大多数患者在急性期经过及时治疗干预后能够恢复,但仍有部分患者可能存在慢性右心功能不全(RVD),影响患者的生存质量及远期预后。深入探究急性PTE后慢性RVD的影响因素、诊治方案与管理策略,对于优化PTE患者的长期管理及改善预后具有至关重要的意义。本文就急性PTE后慢性RVD的流行病学、影响因素、评估方法、管理及预后等方面的研究进展展开综述。.