Jung Moon-Kyung, Kim Hwan Wook, Beck Kyongmin S, Sung Yeoun Eun, Jung Mi-Hyang
Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Eur Heart J Case Rep. 2024 Jul 18;8(7):ytae353. doi: 10.1093/ehjcr/ytae353. eCollection 2024 Jul.
Pulmonary thromboembolism and active haemoptysis represent distinct yet critical emergencies necessitating immediate intervention. However, the treatment protocols for these conditions-anticoagulation therapy and haemostatic therapy-often pose a dilemma.
We present the case of a 25-year-old female who presented to our emergency room with haemoptysis and a concurrent diagnosis of pulmonary thromboembolism. Due to persistent active haemoptysis, we temporarily paused anticoagulation and opted for surgical pulmonary thrombectomy, enabling the safe resumption of anticoagulation therapy.
Haemoptysis occurring in pulmonary thromboembolism is infrequently reported in the literature, and established treatment guidelines for such cases are lacking. This case could provide guidance on how to handle the intricate treatment challenges posed by concurrent haemoptysis and pulmonary thromboembolism.
肺血栓栓塞症和活动性咯血是两种不同但危急的紧急情况，需要立即干预。然而，针对这些病症的治疗方案——抗凝治疗和止血治疗——常常造成两难局面。
我们报告一例25岁女性病例，该患者因咯血就诊于我院急诊室，同时被诊断为肺血栓栓塞症。由于持续性活动性咯血，我们暂时停用抗凝治疗，选择进行外科肺血栓切除术，从而能够安全地恢复抗凝治疗。
肺血栓栓塞症并发咯血在文献中鲜有报道，且缺乏针对此类病例的既定治疗指南。本病例可为如何应对咯血与肺血栓栓塞症并存所带来的复杂治疗挑战提供指导。
