Hemodynamic and symptomatic improvement after delayed thrombolysis with Reteplase in a patient with massive bilateral pulmonary emboli

被引：3

作者：

Sharif-Kashani, Babak ^{[1
]}

Kiani, Arda ^{[2
]}

Bakhshayesh-Karam, Mehrdad ^{[3
]}

Sheybani-Afshar, Faezeh ^{[1
]}

Behzadnia, Neda ^{[4
]}

Naghash-Zadeh, Farah ^{[1
]}

机构：

[1] Shahid Beheshti Univ Med Sci, Natl Res Inst TB & Lung Dis NRITLD, Lung Transplantat Res Ctr, Tehran, Iran

[2] Shahid Beheshti Univ Med Sci, Natl Res Inst TB & Lung Dis NRITLD, Tracheal Dis Res Ctr, Tehran, Iran

[3] Shahid Beheshti Univ Med Sci, Natl Res Inst TB & Lung Dis NRITLD, Pediat Resp Dis Res Ctr, Tehran, Iran

[4] Shahid Beheshti Univ Med Sci, Natl Res Inst TB & Lung Dis NRITLD, Chron Resp Dis Res Ctr, Tehran, Iran

来源：

BLOOD COAGULATION & FIBRINOLYSIS | 2015年 / 26卷 / 01期

关键词：

delayed diagnosis; pulmonary embolism; thrombolytic therapy; HYPERTENSION; DIAGNOSIS; GUIDELINES; MANAGEMENT;

D O I：

10.1097/MBC.0000000000000087

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Most patients surviving the acute phase of pulmonary embolism will recover with no residue. But, 2-4% of patients will progress to chronic thromboembolic pulmonary hypertension. In this group, usually a Honey moon' period is seen but a few may show progression with ongoing symptoms despite medical treatment. In this case report, we review a patient in whom delayed thrombolytic therapy was administered due to progressive symptoms after 21 days. Her condition was stabilized. The early posttreatment computed tomographic pulmonary angiography (CTPA) showed incomplete resolution, but after 6 months she was functional class I with a normal CTPA and echocardiography. (C) 2015 Wolters Kluwer Health, Inc. All rights reserved.

引用

页码：88 / 90

页数：3

共 15 条

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