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[急性大面积肺栓塞心肺复苏期间的溶栓治疗。一例报告]

[Thrombolytic therapy during cardiopulmonary resuscitation for acute massive pulmonary embolism. A case report].

作者信息

Greco F, Misuraca G, Serafini O, Guzzo D, Plastina F

机构信息

Divisione di Cardiologia, Ospedale Civile di Cosenza, Italy.

出版信息

Minerva Cardioangiol. 2001 Dec;49(6):433-6.

PMID:11733741
Abstract

Massive pulmonary embolism associated with cardiac arrest has an extremely high mortality in spite of cardiopulmonary resuscitation maneuvers. An early diagnosis of pulmonary embolism as cause of cardiac arrest and a rapid specific therapy able to obtain a restoration of pulmonary flow can improve the prognosis. The authors report a case of cardiac arrest for massive pulmonary embolism promptly diagnosed by echocardiography and treated by thrombolytic therapy with an initial favourable outcome.

摘要

尽管进行了心肺复苏操作,但与心脏骤停相关的大面积肺栓塞死亡率极高。早期诊断出肺栓塞是心脏骤停的原因,并迅速采取能够恢复肺血流的特异性治疗,可改善预后。作者报告了一例因大面积肺栓塞导致心脏骤停的病例,通过超声心动图迅速确诊,并采用溶栓治疗,初步取得了良好效果。

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