Immediate postpartum cardiorespiratory collapse: a management quandary

被引：5

作者：

Azarisman, Shah M. S. ^{[1
]}

Liza, Roslani A. ^{[2
]}

Radhiana, Hassan

Sujana, Saravanamuttu S. ^{[2
]}

Maskon, Oteh ^{[4
]}

Rosli, Mohd A. ^{[3
]}

Fauzi, Abdul R. M.

机构：

[1] Int Islamic Univ Malaysia, Fac Med, Kuantan 25200, Pahang Darul Ma, Malaysia

[2] Hosp Tengku Ampuan Afzan, Kuantan, Malaysia

[3] Natl Heart Inst, Inst Jantung Negara, Kuala Lumpur, Malaysia

[4] UKMMC, Kuala Lumpur, Malaysia

来源：

BLOOD COAGULATION & FIBRINOLYSIS | 2010年 / 21卷 / 06期

关键词：

cardiopulmonary collapse; puerperium; pulmonary embolism; tenecteplase; ACUTE MYOCARDIAL-INFARCTION; ACUTE PULMONARY-EMBOLISM; VENOUS THROMBOEMBOLISM; PREGNANCY; HEART;

D O I：

10.1097/MBC.0b013e32833c2b9f

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 35-year-old multiparous woman was found unresponsive, tachypnoeic, hypoxic and in shock 4 h postpartum. The ECG revealed S1 Q3 T3, a right bundle branch block pattern and right-axis deviation. The computed tomography of her pulmonary arteries revealed bilateral pulmonary artery thrombosis with dilated right ventricle. She was fibrinolyzed with intravenous Tenecteplase 30 mg bolus. Her saturation and tachypnoea improved and her ECG reverted to sinus rhythm subsequently. We discuss our use of off-label Tenecteplase in postpartum pulmonary embolism and review the literature. Blood Coagul Fibrinolysis 21:601-604 (C) 2010 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

引用

页码：601 / 604

页数：4

共 16 条

[11] Managing acute collapse in pregnant women [J].

Lombaard, Hennie ;

Soma-Pillay, Priya ;

Farrell, Ei-Marie .

BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY, 2009, 23 (03) :339-355

[12] 27-year old pregnant woman with syncope and dyspnea after aortic alloplastic heart valve replacement 15 years ago [J].

Maegdefessel, L. ;

Issa, H. ;

Scheler, C. ;

Thaele, V. ;

Schlitt, A. ;

Hartelt, U. ;

Grabitz, R. ;

Buerke, M. .

INTERNIST, 2008, 49 (07) :868-872

[13]

Melandri G, 2009, VASC HEALTH RISK MAN, V5, P249

[14] Pharmacokinetics and pharmacodynamics of tenecteplase: Results from a phase II study in patients with acute myocardial infarction [J].

Modi, NB ;

Fox, NL ;

Clow, FW ;

Tanswell, P ;

Cannon, CP ;

Van de Werf, F ;

Braunwald, E .

JOURNAL OF CLINICAL PHARMACOLOGY, 2000, 40 (05) :508-515

[15]

Ravindran J, 1994, Med J Malaysia, V49, P53

[16]

Royal College of Obstetrics and Gynaecologists, 2007, THROMB DIS PREGN PUE

← 1 2 →