Onoyama Y, Minamitani M, Takeuchi H, Sakai S, Eguchi H
Department of Obstetrics and Gynecology, Shimonoseki City Hospital, Japan.
J Obstet Gynaecol Res. 1996 Jun;22(3):201-8. doi: 10.1111/j.1447-0756.1996.tb00967.x.
A 30-year-old primigravida, delivering by cesarean section, went into shock with cardiac arrest due to pulmonary thromboembolism. Thrombolytic therapy with recombinant-tissue-type plasminogen activator (rt-PA) induced a rapid improvement in both the hemodynamic and respiratory conditions. This case shows the marked efficacy of rt-PA in treating massive pulmonary thromboembolism. Close attention must be given to the patient in such a case, however, because the risk of hemorrhagic complication exists.
一名30岁初产妇剖宫产分娩后，因肺血栓栓塞症发生心脏骤停并休克。使用重组组织型纤溶酶原激活剂（rt-PA）进行溶栓治疗后，血流动力学和呼吸状况迅速改善。该病例显示rt-PA治疗大面积肺血栓栓塞症疗效显著。然而，对于此类病例必须密切关注患者，因为存在出血并发症的风险。
