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Journal of The Korean Society of Emergency Medicine 2000;11(2): 255-261. |
| Early Use of Thrombolytics for Massive Pulmonary Embolism by a Comparison of Cases |
| Hyo Yong Ahn, Shin Chul Kim, Myung Chun Kim, Young Gwan Ko |
| Department of Emergency Medicine, College of Medicine, Kyung Hee University, Korea. erzzang66@hanmail.net |
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| ABSTRACT |
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Pulmonary embolism is a common condition with considerable morbidity and mortality. The diagnosis of pulmonary embolism remains a vexing problem. Prompt and accurate diagnosis is important because the mortality of untreated pulmonary embolism is high and serious complications can occur. Most physicians are inexperienced in the use of thrombolytic agents fo r pulmonary embolism, even though they utilize these agents routinely for acute myocardial infarction. We compared 2 domestic cases with 2 foreign cases. On comparison, we spent a long time in making a definite diagnosis in the domestic cases. Moreover, in the second domestic case, we did not use thrombolytic agents early, in spite of a suspected massive pulmonary embolism and then eventually he died. We conclude that bolus administration of thrombolytic agents during CPR for clinically suspected massive pulmonary embolism in emergency departments may be an acceptable technique. |
| Key words:
Pulmonary embolism, Thrombolytic agent |
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