Successful thrombolysis for massive pulmonary embolism after pulmonary resection

被引：14
|
作者：
Sayeed, RA [1 ]
Nashef, SAM [1 ]
机构：
[1] Papworth Hosp, Cardiothorac Surg Unit, Cambridge CB3 8RE, England
来源：
ANNALS OF THORACIC SURGERY | 1999年 / 67卷 / 06期
关键词：
D O I：
10.1016/S0003-4975(99)00346-X
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report the successful use of thrombolysis for acute massive pulmonary embolism 2 days after right lower lobectomy for bronchial adenocarcinoma. Pulmonary angiography revealed extensive clot unsuitable for surgical embolectomy. A bolus infusion of recombinant tissue plasminogen activator produced an immediate improvement in the patient's hemodynamic state. There was substantial blood loss requiring the transfusion of 21 units of blood over the postoperative period. The patient made a successful recovery and remained well at 1 year. (C) 1999 by The Society of Thoracic Surgeons.
引用
收藏
页码：1785 / 1787
页数：3
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