Wu Jiang-Ping, Gu Dan-Yan, Wang Sheng, Zhang Zhen-Jun, Zhou Jian-Cang, Zhang Rui-Feng
1 Department of Emergency Medicine, The Second People's Hospital of Yiwu City, Yiwu 322002, China ; 2 Department of Critical Care Medicine, 3 Department of Respiratory Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
J Thorac Dis. 2014 Dec;6(12):E289-93. doi: 10.3978/j.issn.2072-1439.2014.12.23.
We reported the case of a 70-year-old man who was admitted to neurologic wards for recurrent syncope for 3 years. Unfortunately, just 2 hours after his admission, he suddenly collapsed and failed to return of spontaneous circulation (ROSC) after a 100-minute standard cardiopulmonary resuscitation (CPR). Fortunately, he was timely suspected to have pulmonary embolism (PE) based on his sedentary lifestyle, elevated D-dimer and markedly enlarged right ventricle chamber on bedside echocardiography. After a rescue thrombolytic alteplase therapy, he was successfully resuscitated and good neurological recovery was achieved.
我们报告了一名70岁男性的病例，他因反复晕厥3年入住神经科病房。不幸的是，入院仅2小时后，他突然晕倒，在进行100分钟的标准心肺复苏（CPR）后未能恢复自主循环（ROSC）。幸运的是，基于他久坐的生活方式、D-二聚体升高以及床边超声心动图显示右心室明显增大，他被及时怀疑患有肺栓塞（PE）。经过溶栓药物阿替普酶的抢救治疗，他成功复苏，神经功能恢复良好。
