Tromboembolismo pulmonar masivo tratado con infusión selectiva de estreptoquinasa: comunicación de 2 casos / Massive pulmonary thromboembolism treated with selective infusion of streptokinase: report of 2 cases
Rev. méd. Chile
;
119(2): 172-7, feb. 1991. ilus
Article
in Spanish
| LILACS
| ID: lil-98202
ABSTRACT
We report 2 patients who developed massive pulmonary embolism with > 50% occludion of the pulmonary arterial circulation. Hypotension, syncope and right sided failure were the clinical manifestations. Immediately after diagnostic pulmonary arteriography, 20,000 U of streptokonase (SK) were delivered in the pulmonary artery nest to the thrombotic mass. A continous infusion of SK, 10,000 U/h was maintained for 24h in one patient and 72h in the other. Rapid clincial improvement was observed in the following 24h. Control angiography showed lysis of the embolus with residual obstructions of segmentary branches. The clinical value of this form of treatment for pulmonary embolism is discussed
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Index:
LILACS (Americas)
Main subject:
Pulmonary Embolism
/
Streptokinase
/
Thrombolytic Therapy
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
1991
Type:
Article
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