Abstract

AGUDELO, MARIO ANDRÉS; COHEN, JORGE IVÁN; GIRALDO, JORGE ANDRÉS  and  HALPERT, KAROLYNN. Thrombolysis in massive pulmonary embolism in emergency room: case report. CES Med. [online]. 2009, vol.23, n.2, pp.63-71. ISSN 0120-8705.

Pulmonary thromboembolism (PTE) is a diagnosis possibility that implies determining a probability with Wells score in order to avoid subdiagnosis or late diagnosis in emergency services. In some occasions, it presents as a life threatening condition that requires immediate intervention. Thrombolysis is the adequate treatment when PTE is accompanied with hemodynamic instability and when there are no counter-indications. The following article describes the case of a 61 year old man who enters a high complexity level emergency service with a diagnosis of massive PTE and thrombolysis is carried out with Alteplase ®. Adequate reperfusion of pulmonary circulation is obtained as well as cardio respiratory stability following the procedure.

Keywords : Thrombolysis; Pulmonary thrombo-embolism; Emergency service.

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