Esteban-Jiménez O, Velázquez-Lupiáñez L, Martínez-Raposo Piedrafita M C, Cebollada-Gracia A D
Medicina de Familia y Comunitaria, Centro de Salud Valdefierro, Zaragoza, España.
Semergen. 2013 Apr;39(3):175-8. doi: 10.1016/j.semerg.2012.01.002. Epub 2012 Apr 7.
The Primary Care physician must know the risk factors and to suspect the presence of a pulmonary thromboembolism (PTE) when there is a compatible clinical picture. We present two cases of a massive PTE in young healthy women in whom the taking of ethinylestradiol combined with cyproterone acetate was the only existing risk factor. We believe that the recommendations of the Spanish Medicines Agency should be followed and prescribe those contraceptives that have less than 30ug of ethinylestradiol and a second generation gestagen.
初级保健医生必须了解风险因素,并在出现相符的临床症状时怀疑存在肺血栓栓塞症(PTE)。我们呈现了两例年轻健康女性发生大面积PTE的病例,她们唯一存在的风险因素是服用乙炔雌二醇与醋酸环丙孕酮的复方制剂。我们认为应该遵循西班牙药品管理局的建议,开具乙炔雌二醇含量低于30微克且含有第二代孕激素的避孕药。