Cannon C P, Goldhaber S Z
Am J Cardiol. 1996 Nov 15;78(10):1149-51.
Primary therapy (as opposed to secondary prevention with anticoagulation alone) is generally accepted for treatment of the relatively rare pulmonary embolism (PE) patient who presents with hypotension. Emerging evidence suggests that primary therapy should also be considered for the large group of PE patients who present with normal systemic arterial pressure plus moderate or severe right ventricular dysfunction on echocardiogram.
对于出现低血压的相对罕见的肺栓塞（PE）患者，一般接受初始治疗（与仅用抗凝进行二级预防相对）。新出现的证据表明，对于超声心动图显示体循环动脉压正常且伴有中度或重度右心室功能障碍的大量PE患者，也应考虑初始治疗。
