Author | dc.contributor.author | Leal, José Luis | |
Author | dc.contributor.author | Lora, Pilar | es_CL |
Author | dc.contributor.author | Enciso, Giovanni | es_CL |
Author | dc.contributor.author | Reynolds, Enrique | es_CL |
Admission date | dc.date.accessioned | 2010-11-23T13:26:45Z | |
Available date | dc.date.available | 2010-11-23T13:26:45Z | |
Publication date | dc.date.issued | 2010-07 | |
Cita de ítem | dc.identifier.citation | REVISTA MEDICA DE CHILE Volume: 138 Issue: 7 Pages: 856-861 Published: JUL 2010 | en_US |
Identifier | dc.identifier.issn | 0034-9887 | |
Identifier | dc.identifier.uri | https://repositorio.uchile.cl/handle/2250/128783 | |
Abstract | dc.description.abstract | Massive pulmonary thromboembolism has a high mortality. Early thrombolysis is the treatment of choice. We report a 79-year-old man admitted in shock. A chest angio-CAT scan showed a massive pulmonary thromboembolism. A transthoracic echocardiography showed a right cardiac dysfunction. Although the patient was in hemodynamic instability, he was subjected to thrombolysis with streptokinase, assisted with noradrenaline support and invasive mechanical ventilation. Parenteral anticoagulation was started thereafter. A second echocardiography, performed 72 hours later showed an improvement in right ventricular function. The patient had a nosocomial pneumonia that was treated. Noradrenalin and mechanical ventilation were discontinued nine and 15 days after thrombolysis. A new angio-CAT scan, 23 days after the procedure, was normal. The patient was discharged in good conditions 27 days after admission. | en_US |
Lenguage | dc.language.iso | es | en_US |
Publisher | dc.publisher | SOC MEDICA SANTIAGO | en_US |
Keywords | dc.subject | Streptokinase: Thromboembolism | en_US |
Título | dc.title | Tromboembolismo pulmonar masivo con respuesta exitosa a trombolisis farmacológica. Caso clínico | en_US |
Title in another language | dc.title.alternative | Massive pulmonary thromboembolism treated successfully with streptokinase. Report of one case | en_US |
Document type | dc.type | Artículo de revista | |