Thrombolysis in post-surgery pulmonary thromboembolism. Presentation of a case
Keywords:
ABDOMINAL PAIN, PANCREATITIS, PULMONARY EMBOLISM, THROMBOLYTIC THERAPY, STREPTOKINASE, CASE REPORTS, HUMANS, MALE, MIDDLE AGEDAbstract
The current case states the utility of the streptokinase in the pulmonary thromboembolism, with a great hemodynamic repercussion. Of greatest relevance is the fact of being a post-surgery patient, period in which post-surgery pulmonary thromboembolism risk is higher, and fearing bleeding motivates surgeon to refuse anticoagulation. We presented an updated review of the theme and the experience of a patient with post-surgery pulmonary thromboembolism treated with streptokinase in the Clinical Teaching Provincial Hospital José Ramón Lopez Tabrane, of Matanzas , monitored with a catheter of pulmonary artery, evidencing a dissociation between pulmonary diastolic pressure and wedge pressure. He received streptokinase via continuous infusion, with a satisfactory clinical and hemodynamic answer.Downloads
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