Mazeika P K, Oakley C M
Department of Medicine, Hammersmith Hospital, London, U.K.
Eur Heart J. 1994 Sep;15(9):1281-3. doi: 10.1093/oxfordjournals.eurheartj.a060666.
Despite heightened awareness, pulmonary embolism remains a major cause of maternal mortality in the antenatal period and one which has not decreased in incidence over the four triennia since 1976. We report a patient who suffered massive pulmonary embolism with circulatory collapse in the second trimester and who was treated with intravenous streptokinase followed by percutaneous mechanical dispersion of thrombus using a catheter and guide wire. She made an excellent recovery despite complicating antepartum haemorrhage. In life-threatening circumstances pharmacological thrombolysis is mandatory particularly for hospitals without a cardiac catheterization laboratory on site.
尽管人们的认识有所提高，但肺栓塞仍是产前孕产妇死亡的主要原因之一，自1976年以来的三个三年期内其发病率并未下降。我们报告了一名患者，她在孕中期发生了伴有循环衰竭的大面积肺栓塞，接受了静脉注射链激酶治疗，随后使用导管和导丝进行经皮血栓机械分散治疗。尽管出现了产前出血的并发症，但她恢复得很好。在危及生命的情况下，药物溶栓是必要的，特别是对于没有现场心脏导管实验室的医院。
