Caleb M G
National Heart Centre, Singapore.
Singapore Med J. 2002 Jan;43(1):25-7.
Massive pulmonary embolism with shock remains a highly fatal disease. We present twelve cases of massive embolism over the last seven years that required emergent surgery. Five patients suffered haemodynamic collapse and all died despite heroic attempts at salvage. A better outcome can only be achieved in this sub-category of patients with a rapid confirmatory diagnosis and appropriate thrombolysis and early referral to a cardiothoracic surgeon.
伴有休克的大面积肺栓塞仍然是一种高致死性疾病。我们呈现了过去七年间十二例需要紧急手术的大面积肺栓塞病例。五名患者出现血流动力学崩溃，尽管进行了全力抢救，仍全部死亡。对于这类患者，只有通过快速确诊、恰当的溶栓治疗以及早期转诊给心胸外科医生，才能取得更好的治疗效果。
