Sato Tetsuya, Kobatake Renpei, Yoshioka Ryo, Fuke Soichiro, Ikeda Tetsuya, Saito Hironori, Maekawa Kiyoaki, Hioka Toru
Department of Cardiology, Okayama Red Cross General Hospital, Okayama City, Japan.
Int Heart J. 2007 Mar;48(2):269-76. doi: 10.1536/ihj.48.269.
We report a rescued 37-year-old woman in her 30(th) week of gestation with massive pulmonary thromboembolism who was admitted to our cardiac care unit with progressive dyspnea and 2 episodes of syncope. Helical chest CT showed massive pulmonary thromboembolism of both pulmonary arteries. Although 26,000 U/day of heparin was administered following insertion of a temporary filter, hemodynamic evaluation documented no improvement. Since pulmonary artery (PA) pressure increased from 62/22 mmHg to 80/24 mmHg just after an emergency cesarean section on day 2, an emergency transcatheter thrombectomy was performed and it showed decreased PA pressure following extensive thrombus aspiration. Mother and baby were discharged with no complications.
我们报告了一名37岁、孕30周的获救女性，她因大面积肺血栓栓塞症入住我们的心脏监护病房，伴有进行性呼吸困难和2次晕厥发作。螺旋胸部CT显示双侧肺动脉大面积肺血栓栓塞。尽管在插入临时滤器后给予了26000 U/天的肝素，但血流动力学评估显示无改善。由于在第2天紧急剖宫产术后肺动脉（PA）压力从62/22 mmHg升至80/24 mmHg，遂进行了紧急经导管血栓切除术，术后大量血栓抽吸后PA压力下降。母婴出院，无并发症。
