Laube I, Medici T C, Jenni R, Vetter W
Departement Innere Medizin, Universitätsspital Zürich.
Praxis (Bern 1994). 1995 Jun 6;84(23):703-7.
We report about the history of a 53-year-old female who suffered from dyspnea as well as leg and chest pain for six months; in addition she experienced two syncopal events. Recurrent pulmonary embolism was suspected, which was subsequently confirmed by positive scintigraphical findings. Acute cor pulmonale may have caused the syncopes. Therapy with heparin and oral warfarin was started. Within few days the patients condition improved markedly. Signs of pulmonary hypertension disappeared within five months.
我们报告了一名53岁女性的病史，她出现呼吸困难、腿部和胸部疼痛达六个月之久；此外，她还经历了两次晕厥事件。怀疑为复发性肺栓塞，随后闪烁扫描检查结果呈阳性证实了这一诊断。急性肺心病可能导致了晕厥。开始使用肝素和口服华法林进行治疗。几天内患者病情明显改善。肺动脉高压的体征在五个月内消失。
