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Repeated Thrombolytic Treatment for Recurrent Pulmonary Thromboembolism: A Report of 2 Cases and a Literature Review

机译:反复溶栓治疗复发性肺血栓栓塞:2例报告并文献复习

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摘要

We present 2 cases of pulmonary thromboembolism (PTE). The first case, a 50-year-old man, was admitted to the emergency department because of sudden onset dyspnea and left side chest pain. He was diagnosed with intermediate-risk (submassive) PTE, and thrombolytic treatment was commenced. The patient fully recovered, but 5 days later, he was diagnosed with a new, high-risk PTE. The second patient, a 23-year-old woman, presented with syncope, dyspnea, and chest pain for 2 days. She was diagnosed with high-risk (massive) PTE. Thrombolytic treatment was commenced, and the patient fully recovered, too. But the later patient was also diagnosed with a new PTE 4 days later. We applied repeated thrombolytic treatment in the patients due to repeated PTE. The first patient fully recovered and was discharged from the hospital, but the second patient died because of gastrointestinal bleeding and renal insufficiency. A repeated thrombolytic treatment could be an alternative treatment for these patients, considering treatment’s risks.
机译:我们目前有2例肺血栓栓塞症(PTE)。第一例是一名50岁男子,因突然发作的呼吸困难和左侧胸痛而被送往急诊科。他被诊断患有中危(亚大规模)PTE,并开始进行溶栓治疗。患者完全康复,但是5天后,他被诊断出患有新的高风险PTE。第二名患者是一名23岁的女性,出现晕厥,呼吸困难和胸痛2天。她被诊断出患有高危(大规模)PTE。开始溶栓治疗,患者也完全康复。但后来的病人也被诊断出在4天后有新的PTE。由于重复的PTE,我们对患者进行了重复的溶栓治疗。第一例患者完全康复并出院,但第二例患者因胃肠道出血和肾功能不全而死亡。考虑到治疗的风险,反复溶栓治疗可能是这些患者的替代治疗。

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