中国全科医学2018，Vol.21Issue(2)：194-198,5.DOI:10.3969/j.issn.1007-9572.2017.00.106
存在溶栓禁忌证的肺血栓栓塞症患者治疗策略分析
Treatment Strategies for Patients with Pulmonary Thromboembolism and Contraindications to Thrombolysis
杜昌 1余剑波 1朱继红1
作者信息
- 1. 100044北京市,北京大学人民医院急诊科
- 折叠
摘要
Abstract
Pulmonary thromboembolism(PTE) is a clinically acute disease with a high fatality rate.Active thrombolytic therapy is the key to the successful rescue of PTE, but some of the PTE high risk factors are contraindications to thrombolysis, which may aggravate the risk of bleeding during thrombolysis.We reviewed 10 cases of PTE with contraindications to thrombolysis undergoing thrombolytic therapy.All of them had comorbidities before the onset of PTE(4 with major thoracic and abdominal surgery,2 with acute cerebral infarction,2 with subarachnoid hemorrhage,1 with caesarean section, and 1 with active vaginal bleeding) and received intravenous thrombolysis or interventional thrombolysis.Nine of them discharged with a better condition,but the other 1 died.For a high-risk PTE patient with confirmed diagnosis, even if he has contraindications to thrombosis, rapidly decreasing pulmonary arterial pressure and improving right ventricular function are still of critical importance during the emergency treatment, so thrombolytic therapy should be given to him as the primary regimen for positive treatment based on comprehensive assessment of the patient's conditions.关键词
肺栓塞/血栓溶解疗法/禁忌证Key words
Pulmonary embolism/Thrombolytic therapy/Contraindication分类
医药卫生引用本文复制引用
杜昌,余剑波,朱继红..存在溶栓禁忌证的肺血栓栓塞症患者治疗策略分析[J].中国全科医学,2018,21(2):194-198,5.
