查詢結果分析
相關文獻
- Thrombolytic Therapy Improves a Patient with Massive Pulmonary Embolism and Unstable Hemodynamics : A Case Report
- 以血栓溶解劑處理急性肺動脈栓塞--近年資料分析
- 肺栓塞--從病理機轉到診斷治療策略
- 一位老年女性患者之高血糖高滲透壓狀態併急性肺栓塞
- 超音波輔助併導管導引之血栓溶解治療肺動脈栓塞
- Successful Delayed Thrombolytic Therapy in a Patient with Massive Pulmonary Embolism
- Fatal Pulmonary Embolism in a Child Undergoing Extra-Ventricular Drainage Surgery--A Case Report
- 靜脈血栓性栓塞的預防及治療概念
- 肝素及低分子量肝素對急性肺栓塞的治療
- Acute Pulmonary Embolism in a Patient with Protein S Deficiency and Atrial Septal Defect
頁籤選單縮合
題名 | Thrombolytic Therapy Improves a Patient with Massive Pulmonary Embolism and Unstable Hemodynamics : A Case Report=肺栓塞合併血流動力學不穩定患者接受血栓溶解治療獲得改善 : 病例報告 |
---|---|
作者 | 許楹奇; 林世章; Hsu, Ying-chi; Lin, Shih-chang; |
期刊 | 中華民國重症醫學雜誌 |
出版日期 | 20100800 |
卷期 | 11:2 2010.08[民99.08] |
頁次 | 頁134-139 |
分類號 | 415.46 |
語文 | eng |
關鍵詞 | 靜脈血栓性栓塞; 紳部靜脈血栓; 肺栓塞; 血栓溶解治療; Venous thromboembolism; VTE; Deep venous thrombosis; DVT; Pulmonary embolism; PE; Thrombolytic therapy; |
中文摘要 | 在靜脈血栓栓塞症(venous thromboembolism)中包括深層靜脈血栓(deep venous thrombosis)及肺栓塞(pulmonary embolism),其主要治療為使用抗凝血治療。當血流動力學不穩定時,包括持續低血壓、嚴重低血氧、心因性休克、右心衰竭、需要緊急實施心肺復甦術及大量肺栓塞,立即給予血栓溶解治療可以改善患者血流動力學。我們報告一位患者,藉由胸部電腦斷層診斷大量肺栓塞合併持續低血壓,而且呼吸衰竭需要靠非侵襲性正壓呼吸器支持。在使用血栓溶解治療後24小時內,胸部電腦斷層顯示血栓有部分溶解,患者臨床狀況也獲得改善。 |
英文摘要 | Anticoagulation is the mainstay of therapy in patients with venous thromboembolism (VTE), which includes deep venous thrombosis (DVT) and pulmonary embolism (PE). When hemodynamics are unstable, as in persistent hypotension (BP <90 mm Hg or a drop in systolic blood pressure of ≥ 40 mm Hg from baseline), severe hypoxemia, cardiogenic shock, right ventricular dysfunction, circulatory collapse (including syncope or need for cardiopulmonary resuscitation), and massive pulmonary embolism, thrombolytic therapy may improve the unstable condition. Herein, we report the case of a patient who had massive PE with hypotension and pending respiratory failure under non-invasive positive pressure ventilation (NIPPV) support. Thrombolytic therapy was administered and the clinical condition improved within 24 hours. Chest computed tomography (CT) revealed partial remission of PE. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。