Allocca Giuseppe, Dall'Aglio Vittorio, Nicolosi Gian Luigi
U.O. di Cardiologia-ARC, A.O. S. Maria degli Angeli, Pordenone.
Ital Heart J Suppl. 2005 Jun;6(6):390-3.
The decision to treat an elderly patient with massive pulmonary embolism with thrombolytic therapy is not easy due to the risk for hemorrhagic complications, increasing for each incremental year of age. We report the case of a 92-year-old male, referred to the emergency department after recurrence of syncopal episodes. Echocardiography proved to be very useful to make diagnosis of massive pulmonary embolism. Thrombolytic therapy with tenecteplase was successful and resulted in early thrombus resolution and hemodynamic stability, with no major complications.
由于出血并发症的风险会随着年龄的逐年增加而上升，因此决定对老年大面积肺栓塞患者进行溶栓治疗并非易事。我们报告了一例92岁男性患者的病例，该患者在晕厥发作复发后被送往急诊科。超声心动图在大面积肺栓塞的诊断中被证明非常有用。使用替奈普酶进行溶栓治疗取得了成功，导致血栓早期溶解并实现了血流动力学稳定，且未出现重大并发症。
