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J Korean Soc Emerg Med > Volume 13(1); 2002 > Article
Journal of The Korean Society of Emergency Medicine 2002;13(1): 90-93.
The Cardiopulmonary Resuscitation in the Massive Pulmonary Thromboemolism: The Use of t-PA in 2 Cases
Jun Hwi Cho, Sung Oh Hwang, Seong Whan Kim, Kang Hyun Lee, Jin Woong Lee, Seo Young Lee, Hae Sang Park
1Department of Emergency Medicine, College of Medicine, Kangwon National University, Chuncheon, Korea. cjhemd@kangwon.ac.kr
2Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.
ABSTRACT
The massive pulmonary thromboembolism is serious illness that can lead to death within an hour after its occurrence. The incidence of cardiac arrest caused by massive pulmonary thromboembolism has been known as about 7%. Invasive therapeutic modalities to treat massive pulmonary thromboembolism during cardiac arrest including thoracotomy or cardiopulmonary bypass have been shown little effect. Administration of a thrombolytic agent is an alternative choice of treating massive pulmonary thromboembolism during cardiac arrest. This report describes our experience of cases with massive pulmonary thromboembolism that were treated with administration of a thrombolytic agent during CPR.
Key words: Pulmonary thromboembolism, Cardiac arrest, Thrombolysis
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