Argüder Emine, Parlak Ebru, Hezer Habibe, Karalezli Ayşegül, Hasanoğlu H Canan
Department of Chest Diseases, Ankara Yıldırım Beyazıt University School of Medicine, Ankara, Turkey.
Clinic of Chest Diseases, Ankara Atatürk Training and Research Hospital, Ankara, Turkey.
Turk Thorac J. 2019 Jan 1;20(1):61-65. doi: 10.5152/TurkThoracJ.2018.18020.
We present 2 cases of pulmonary thromboembolism (PTE). The first case, a 50-year-old man, was admitted to the emergency department because of sudden onset dyspnea and left side chest pain. He was diagnosed with intermediate-risk (submassive) PTE, and thrombolytic treatment was commenced. The patient fully recovered, but 5 days later, he was diagnosed with a new, high-risk PTE. The second patient, a 23-year-old woman, presented with syncope, dyspnea, and chest pain for 2 days. She was diagnosed with high-risk (massive) PTE. Thrombolytic treatment was commenced, and the patient fully recovered, too. But the later patient was also diagnosed with a new PTE 4 days later. We applied repeated thrombolytic treatment in the patients due to repeated PTE. The first patient fully recovered and was discharged from the hospital, but the second patient died because of gastrointestinal bleeding and renal insufficiency. A repeated thrombolytic treatment could be an alternative treatment for these patients, considering treatment's risks.
我们报告2例肺血栓栓塞症（PTE）。第一例，一名50岁男性，因突发呼吸困难和左侧胸痛被收入急诊科。他被诊断为中危（次大面积）PTE，并开始进行溶栓治疗。患者完全康复，但5天后，他又被诊断为新的高危PTE。第二例患者，一名23岁女性，出现晕厥、呼吸困难和胸痛2天。她被诊断为高危（大面积）PTE。开始进行溶栓治疗，患者也完全康复。但该患者在4天后也被诊断为新的PTE。由于PTE复发，我们对患者应用了重复溶栓治疗。第一名患者完全康复并出院，但第二名患者因胃肠道出血和肾功能不全死亡。考虑到治疗风险，重复溶栓治疗可能是这些患者的一种替代治疗方法。
