- 期刊
A Case Report Successful Thrombolysis for Massive Pulmonary Embolism: Rapid Low-Dose Intra-Embolic Therapy
快速以低劑量的血栓溶解劑直接注入肺栓塞治療獲得成功之病例報告
並列摘要
Management of postoperative acute massive pulmonary embolism (PE) presents a dilemma because recent surgical procedure is usually considered an absolute contraindication for thrombolysis. In these patients, catheter or surgical embolectomy are helpful for rapidly reversing right ventricular failure. However, pulmonary embolectomy itself has a high mortality and may not always be available. We report the successful use of low-dose intra-embolic thrombolysis for acute massive PE after abdominal total hysterectomy. The infusion of low-dose urokinase produced an immediate improvement in the patient's hemodynamic state. The patient tolerated the thrombolytic therapy well, without hemorrhage or other complications and made a successful recovery.
延伸閱讀
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