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[因肺栓塞导致猝死患者成功心肺复苏后放置格林菲尔德滤器]

[Greenfield filter placement following successful cardiopulmonary resuscitation in a patient with sudden death due to pulmonary embolization].

作者信息

Ishizaka N, Ohno E, Kawauchi N, Shimizu T, Kojima T, Ohno M, Kurokawa K

机构信息

First Department of Internal Medicine, Faculty of Medicine, University of Tokyo.

出版信息

J Cardiol. 1995 Sep;26(3):193-7.

PMID:7473050
Abstract

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.

摘要

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。

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