Thrombolytic therapy of pulmonary embolism - A comprehensive review of current evidence

被引:141
作者
Arcasoy, SM
Kreit, JW
机构
[1] Univ Penn, Sch Med, Div Pulm & Crit Care, Philadelphia, PA 19104 USA
[2] Univ Pittsburgh, Sch Med, Div Pulm Allergy & Crit Care Med, Pittsburgh, PA USA
关键词
fibrinolysis; pulmonary embolism; recombinant tissue-type plasminogen activator; streptokinase; thrombolytic therapy; urokinase;
D O I
10.1378/chest.115.6.1695
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Pulmonary embolism (PE) is a common disorder that is accompanied by significant morbidity and mortality. Although anticoagulation is the standard treatment for PE, thrombolytic therapy, with its ability to produce rapid clot lysis, has long been considered an attractive alternative. Although many studies have been pel formed over the past three decades, however, the indications for the use of thrombolytic agents in patients with PE remain controversial. In this article, we review the medical literature and provide evidence-based guidelines for the use of thrombolytic therapy. We will also discuss the practical aspects of PE thrombolysis.
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页码:1695 / 1707
页数:13
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