Thrombolysis with recombinant tissue plasminogen activator during cardiopulmonary resuscitation in fulminant pulmonary embolism.: A case series

被引：33

作者：

Ruiz-Bailén, M ^{[1
]}

Aguayo-de-Hoyos, E

Serrano-Córcoles, MD

Díaz-Castellanos, MA

Fierro-Rosón, LJ

Ramos-Cuadra, JA

Rodríguez-Elvira, M

Torres-Ruiz, JM

机构：

[1] Hosp Poniente, Crit Care & Emergencies Dept, Intens Care Unit, El Ejido, Almeria, Spain

[2] Univ Granada, Virgen Las Nieves Hosp, Crit Care & Emergencies Dept, Intens Care Unit, Granada, Spain

[3] Hosp Poniente, Crit Care & Emergencies Dept, Emergency Unit, El Ejido, Almeria, Spain

[4] Univ Granada, San Cecilio Hosp, Crit Care & Emergencies Dept, Intens Care Unit, Granada, Spain

来源：

RESUSCITATION | 2001年 / 51卷 / 01期

关键词：

pulmonary embolism; cardiac arrest; cardiorespiratory arrest; thrombolysis; cardiopulmonary resuscitation; complications;

D O I：

10.1016/S0300-9572(01)00384-7

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Objective: To describe our outcomes using thrombolysis during the cardiopulmonary resuscitation (CPR) of patients in cardiorespiratory arrest (CA) caused by fulminant pulmonary embolism (FPE). Design: A case series. Setting: Intensive care units of a district hospital and a referral centre. Patients: Six patients that suffered CA secondary to an FPE. Interventions: Administration of recombinant tissue plasminogen activator during usual CPR manoeuvres when there was a strong suspicion of FPE. Permission for the thrombolytic therapy was sought from family members in all cases. Results: Four out of the six patients survived and remain symptom-free. The thrombolysis was not associated with any fatal complications. Conclusions: Early thrombolysis during CPR manoeuvres for CA apparently caused by an FPE may reduce the mortality rate among these patients. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：97 / 101

页数：5

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