Proano M, Oh J K, Frye R L, Johnson C M, Tajik A J, Taliercio C P
Division of Gastroenterology and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1988 Dec;63(12):1181-5. doi: 10.1016/s0025-6196(12)65404-4.
Patients with pulmonary embolism and two-dimensional echocardiographic evidence of right atrial thrombus have a high mortality rate despite standard anticoagulation therapy. We used a direct central infusion of streptokinase in three such patients, who subsequently had rapid and complete clinical improvement. In this setting, thrombolytic therapy should be considered an effective therapeutic option.
尽管接受了标准抗凝治疗，但患有肺栓塞且二维超声心动图显示右心房有血栓的患者死亡率很高。我们对三名此类患者直接进行了链激酶中心静脉输注，随后这些患者的临床症状迅速且完全改善。在这种情况下，溶栓治疗应被视为一种有效的治疗选择。
