《血管与腔内血管外科杂志》2024年2月第10卷第2期JournalofVascularandEndovascularSurgeryVol.10,No.2,Feb2024腔静脉滤器的应用进展胡春梅,田鑫悦,陈蒙华广西医科大学第二附属医院重症医学科,广西南宁530007摘要:深静脉血栓(DVT)是临床常见的疾病,急性期发生血栓脱落可引起肺栓塞(PE),其病死率极高。应用腔静脉滤器拦截DVT脱落的栓子流向右心房可有效降低PE的发生率及其危害程度。腔静脉滤器可根据放置位置的不同分为下腔静脉滤器和上腔静脉滤器。下腔静脉滤器又可因使用时间的不同分为永久性滤器和非永久性滤器,后者可进一步细分为临时性、可回收性、可转换型滤器等。本文就近年来国内外关于预防PE的滤器种类和治疗效果进行简要综述,旨在为临床医师合理选用腔静脉滤器提供参考。关键词:深静脉血栓;肺栓塞;静脉血栓栓塞症;腔静脉滤器;应用进展中图分类号:R543文献标识码:Adoi:10.19418/j.cnki.issn2096-0646.2024.02.12ApplicationprogressofvenacavafilterHuChunmei,TianXinyue,ChenMenghuaDepartmentofCriticalCareMedicine,theSecondAffiliatedHospitalofGuangxiMedicalUniversity,Nanning530007,Guangxi,ChinaAbstract:Deepveinthrombosis(DVT)isthecommonclinicaldisease.Acutethrombussheddingcanleadtopulmonaryembolism(PE),andtheriskofdeathisextremelyhigh.TheapplicationofvenacavafiltertoblocktheflowofembolusfromDVTtotherightatriumcaneffectivelyreducetheincidenceofpulmonaryembolismandthedegreeofitsharm.Venacavafilterscanbedividedintoinferiorvenacavafiltersandsuperiorvenacavafiltersaccordingtotheirplacementpositions;inferiorvenacavafilterscanbedividedintopermanentandnon-permanentfiltersaccordingtothedifferenceinusetime;thelattercanbefurthersubdividedintotemporaryfiltersproperties,recyclability,convertiblefilters,andsoon.Thisarticlebrieflyreviewsthetypesandtherapeuticeffectsoffiltersforthepreventionofpulmonaryembolismathomeandabroadinrecentyears,aimingtoprovideareferenceforclinicianstochooseinferiorvenacavafilter(IVCF)reasonably.Keywords:deepveinthrombosis;pulmonaryembolism;venousthromboembolism;venacavafilter;applicationprogress[作者简介][作者简介]胡春梅,住院医师,主要从事心血管重症治疗方向的研究,广西医科大学第二附属医院[通信作者...