A Case of Endobronchial Urokinase for Relief of Bronchial Obstruction by Blood Clots / 결핵
Tuberculosis and Respiratory Diseases
; : 297-302, 2003.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-163626
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Airway obstruction due to blood clot occurs unusually but in a variety of clinical settings. Initial efforts for removal of the endobronchial blood clot involve flexible bronchoscopic evaluation with saline lavage and suctioning and then forceps extraction. If unsuccessful, further options include rigid bronchoscopy, Fogarty catheter dislogement of the clot, and topical thrombolytic agents. The several successful uses of endobronchial streptokinase or urokinase to dissolve an endobronchial blood clot have been previously reported, but not yet in Korea. Herein we describe a 51-year old man with superior vena cava thrombosis secondary to Behcet's disease who experienced life threatening airway obstruction after hemoptysis due to a large organized blood clot in left main bronchus. Urokinase(260,000 U), injected through a fiberoptic bronchoscope, totally dissolved the clot. No complications occured.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Estreptoquinase
/
Sucção
/
Instrumentos Cirúrgicos
/
Síndrome da Veia Cava Superior
/
Brônquios
/
Broncoscopia
/
Ativador de Plasminogênio Tipo Uroquinase
/
Broncoscópios
/
Obstrução das Vias Respiratórias
/
Catéteres
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Tuberculosis and Respiratory Diseases
Ano de publicação:
2003
Tipo de documento:
Artigo