Flügel H, Bartels O, von der Emde J
Fortschr Med. 1978 Mar 30;96(12):639-42.
Despite intensive conservative treatment a 35-year-old woman with massive pulmonary embolism and cardiogenic shock developed cardiac arrest. After 45 minutes resuscitation, mechanical heart action reappeared with a systolic blood pressure at 60 mmHg. Though cardiogenic shock persisted, the patient survived operative embolectomy without any damage. Presenting this case as well as newest clinical reports, the chances of treatment of acute massive pulmonary embolism, conservative or operative, are discussed.
尽管进行了强化保守治疗，一名患有大面积肺栓塞和心源性休克的35岁女性仍发生了心脏骤停。经过45分钟的复苏，心脏恢复机械性活动，收缩压为60 mmHg。虽然心源性休克持续存在，但患者在接受手术取栓后幸存下来，未出现任何损伤。通过展示该病例以及最新的临床报告，对急性大面积肺栓塞的保守治疗或手术治疗的机会进行了讨论。
