Ishizaka N, Ohno E, Kawauchi N, Shimizu T, Kojima T, Ohno M, Kurokawa K
First Department of Internal Medicine, Faculty of Medicine, University of Tokyo.
J Cardiol. 1995 Sep;26(3):193-7.
A 54-year-old man was admitted as an emergency following an episode of syncope and severe dyspnea. The clinical presentation and laboratory data strongly suggested pulmonary embolism, so intravenous thrombolytic therapy was performed. Immediately following the initiation of thrombolytic therapy, the patient experienced cardiopulmonary arrest, but he was successfully resuscitated. Ascending venography of the left lower limb demonstrated a large intraluminal thrombus which was apparently floating between the femoral vein and inferior vena cava. In addition to the anticoagulation therapy, a Greenfield filter was implaced intravenously to prevent recurrent embolization.
一名54岁男性在发生晕厥和严重呼吸困难后急诊入院。临床表现和实验室检查结果强烈提示肺栓塞,因此进行了静脉溶栓治疗。在开始溶栓治疗后不久,患者发生心肺骤停,但成功复苏。左下肢上行静脉造影显示管腔内有一个大血栓,显然漂浮在股静脉和下腔静脉之间。除了抗凝治疗外,还通过静脉植入了一个格林菲尔德滤器以防止再次发生栓塞。