Ⅰ 一般于植入后1周取出,最长不超过2周,LGT-TF Ⅱ最长可达6周。GTF和Amplatz Filter(AF)作为临时性滤器,植入10 d内可经颈静脉由专用的回收器取出,不取出则成永久性滤器。LORCH等[12]对54例DVT病人进行全身溶栓治疗时采用临时性滤器,其中1例发生非致命性PE( 1.9% )。本组16例DVT病人放置了LGT-TF Ⅱ临时性滤器,放置期间未发生症状性PE,所有滤器取出后的伞端均有附着血栓,推测可能是捕捉的脱落血栓,本文结果证明临时性滤器对PE的预防作用是显著的。因此,作者认为,对需要放置滤器的DVT病人,尤其是中青年病人应首选临时性滤器。但本组也有1例病人在取出临时滤器后第2天出现再发性PE,分析原因,在取出滤器时的造影片显示左髂外静脉内仍存在血栓,如能在取出后再放置一永久性滤器应该能避免PE的再次发生。 [参考文献]
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