Wester H A, Orellano L, Fenyes-Bellmann J, Hügl E, Kirchhoff P G
Dtsch Med Wochenschr. 1986 Jul 25;111(30):1151-4. doi: 10.1055/s-2008-1068600.
A 27-year-old woman sustained a massive pulmonary embolism (cause unknown) with circulatory arrest. She was intubated and ventilated while external cardiac massage was performed and urokinase was infused (1.5 X 10(6) U/h). These resuscitative measures were continued while she was transferred by helicopter to the nearest cardiothoracic surgical centre, 40 km away. Thrombectomy was successfully accomplished under extracorporeal circulation after (from its onset) 90 minutes of external cardiac massage. No neurological or other sequelae occurred. This case demonstrates that early and continuous resuscitative measures in a general hospital, followed by rapid transfer to a cardiothoracic surgical centre with immediate operation, can achieve a successful outcome.
一名27岁女性因不明原因发生大面积肺栓塞并出现循环骤停。在进行体外心脏按压并输注尿激酶（1.5×10⁶单位/小时）的同时，对她进行了气管插管和机械通气。在通过直升机将她转送至40公里外最近的心胸外科中心的过程中，这些复苏措施一直在持续。在进行了90分钟的体外心脏按压后，在体外循环下成功完成了血栓切除术。未出现神经或其他后遗症。该病例表明，在综合医院采取早期持续的复苏措施，随后迅速转至心胸外科中心并立即进行手术，可取得成功的结果。
