Successful Recovery After Prolonged Cardiopulmonary Resuscitation and Rescue Thrombolytics in a Patient with Cardiac Arrest Secondary to Presumed Massive Pulmonary Embolism

被引：3
作者：
Liu, Wei [1 ]
Liu, Li-Na [1 ]
Lin, Cai-Wei [1 ]
Wang, Hao-Yu [2 ]
Wang, Xu-Dong [1 ]
机构：
[1] Peking Univ, Aerosp Sch Clin Med, Aerosp Ctr Hosp, Dept Emergency, 15 Yuquan St, Beijing 100049, Peoples R China
[2] Peking Univ, Aerosp Sch Clin Med, Aerosp Ctr Hosp, Dept Radiol, Beijing 100049, Peoples R China
来源：
RISK MANAGEMENT AND HEALTHCARE POLICY | 2021年 / 14卷
关键词：
cardiac arrest; pulmonary embolism; thrombolysis; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; OUTCOMES;
D O I：
10.2147/RMHP.S317205
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
We present the case of a 60-year-old woman who suddenly suffered a witnessed cardiac arrest and did not achieve return of spontaneous circulation despite being given 150 minute ultra-long cardiopulmonary resuscitation (CPR). During CPR, pulmonary embolism was suspected and was eventually diagnosed based on refractory pulseless electrical activity, elevated serum D-dimmer, and a markedly enlarged right ventricle chamber. After rescue thrombolytic alteplase therapy, the patient was successfully resuscitated and had a good neurological recovery.
引用
收藏
页码：4253 / 4256
页数：4
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