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
Artículo
en Español
| 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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Índice:
LILACS (Américas)
Asunto principal:
Embolia Pulmonar
/
Estreptoquinasa
/
Terapia Trombolítica
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
1991
Tipo del documento:
Artículo
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