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对于术后并发大块肺栓塞患者可采用溶栓疗法。例1 男,82岁,行右股部多形大肉瘤切除术。术后13天患者突发虚脱,血压降至10.6/6.67kPa,心率150次/min。胸骨后的颈静脉压高达0.392kPa以上,接着开始咯血。静滴乙胺碘呋酮后心动过速缓解,但血压仍低(12/8 kPa),心率100次/min。动脉血气分析结果:pH7.2,PO_2 4.9kPa,PCO_2 2.9kPa,氧饱和度76%。,通气/灌注扫描证实为多发性肺栓塞。静注链激酶250000U 后,继以100000U/h 维持
Thrombolytic therapy is recommended for patients with massive pulmonary embolism. Example 1 Male, 82 years old, the right femoral polygonal sarcoma resection. Thirteen days after the patient burst collapse, the blood pressure dropped to 10.6 / 6.67kPa, heart rate 150 beats / min. After the sternum jugular venous pressure as high as 0.392kPa, and then began to hemoptysis. After intravenous amiodarone tachycardia relief, but the blood pressure is still low (12/8 kPa), heart rate 100 beats / min. Arterial blood gas analysis results: pH7.2, PO_2 4.9kPa, PCO_2 2.9kPa, oxygen saturation of 76%. , Ventilation / perfusion scan confirmed as multiple pulmonary embolism. Quiescent streptokinase 250000U, followed by 100000U / h to maintain