中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2015年
30期
2424-2427
,共4页
尉艳霞%翟振国%邝土光%谢万木%杨媛华
尉豔霞%翟振國%鄺土光%謝萬木%楊媛華
위염하%적진국%광토광%사만목%양원화
肺栓塞%心脏停搏%血栓溶解疗法%纤溶酶原激活剂%治疗结果
肺栓塞%心髒停搏%血栓溶解療法%纖溶酶原激活劑%治療結果
폐전새%심장정박%혈전용해요법%섬용매원격활제%치료결과
Pulmonary embolism%Heart arrest%Thrombolytic therapy%Plasminogen activators%Treatment outcome
目的 评价对伴有心搏骤停疑诊肺血栓栓塞症(PTE)患者进行重组组织型纤溶酶原激活剂(rt-PA)溶栓的疗效.方法 回顾性分析2010年1月至2014年6月在北京朝阳医院所有住院患者中伴有心搏骤停高度怀疑PTE,并且在心肺复苏过程中进行rt-PA 50 mg静脉溶栓的12例患者的临床资料,记录其一般资料,并对其溶栓的有效性、安全性及预后进行分析.结果 12例患者中,男6例,女6例,年龄16~81岁,平均(54.8±18.6)岁.外科住院患者7例,围手术期患者6例.溶栓前复苏时间17 ~ 90 min,平均(47.8±26.0)min.9例恢复自主循环,自主循环恢复时间5~20min,平均(15.8±5.4)min,24 h生存8例.溶栓后存在出血并发症4例,其中危及生命的2例,出院长期生存患者4例.结论 对伴有心搏骤停疑诊PTE患者进行rt-PA 50 mg溶栓治疗,有利于自主循环恢复,提高24 h生存率.
目的 評價對伴有心搏驟停疑診肺血栓栓塞癥(PTE)患者進行重組組織型纖溶酶原激活劑(rt-PA)溶栓的療效.方法 迴顧性分析2010年1月至2014年6月在北京朝暘醫院所有住院患者中伴有心搏驟停高度懷疑PTE,併且在心肺複囌過程中進行rt-PA 50 mg靜脈溶栓的12例患者的臨床資料,記錄其一般資料,併對其溶栓的有效性、安全性及預後進行分析.結果 12例患者中,男6例,女6例,年齡16~81歲,平均(54.8±18.6)歲.外科住院患者7例,圍手術期患者6例.溶栓前複囌時間17 ~ 90 min,平均(47.8±26.0)min.9例恢複自主循環,自主循環恢複時間5~20min,平均(15.8±5.4)min,24 h生存8例.溶栓後存在齣血併髮癥4例,其中危及生命的2例,齣院長期生存患者4例.結論 對伴有心搏驟停疑診PTE患者進行rt-PA 50 mg溶栓治療,有利于自主循環恢複,提高24 h生存率.
목적 평개대반유심박취정의진폐혈전전새증(PTE)환자진행중조조직형섬용매원격활제(rt-PA)용전적료효.방법 회고성분석2010년1월지2014년6월재북경조양의원소유주원환자중반유심박취정고도부의PTE,병차재심폐복소과정중진행rt-PA 50 mg정맥용전적12례환자적림상자료,기록기일반자료,병대기용전적유효성、안전성급예후진행분석.결과 12례환자중,남6례,녀6례,년령16~81세,평균(54.8±18.6)세.외과주원환자7례,위수술기환자6례.용전전복소시간17 ~ 90 min,평균(47.8±26.0)min.9례회복자주순배,자주순배회복시간5~20min,평균(15.8±5.4)min,24 h생존8례.용전후존재출혈병발증4례,기중위급생명적2례,출원장기생존환자4례.결론 대반유심박취정의진PTE환자진행rt-PA 50 mg용전치료,유리우자주순배회복,제고24 h생존솔.
Objective To explore the effects of thrombolytic therapy with recombinant tissue-type plasminogen activator (rt-PA) in patients with cardiac arrest from suspected pulmonary thromboembolism (PTE).Methods A total of 12 hospitalized patients with cardiac arrest from suspected pulmonary embolism at Beijing Chaoyang Hospital from January 2010 to June 2014 were retrospectively studied.Thrombolysis was given only as a single dose of 50 mg of rt-PA during cardiopulmonary resuscitation.And their clinical features,effocacies and outcomes of thrombolysis were analyzed.Results There were 6 males and 6 females with a mean age of (54.8-± 18.6)(16-81) years.Seven patients were hospitalized in surgery ward while another 6 perioperatively.The mean time of resuscitation before thrombolysis was (47.8 ± 26.0) (17-90) min.Nine patients regained spontaneous circulation.The mean time of restored spontaneous circulation was (15.8 ± 5.4) (5-20).The 24-hour survival rate was 8/12.Four patients had bleeding complications,but only 2 life-threatening major cases.Four patients obtained a long-term survival.Conclusion For suspected PTE patients with sudden cardiac arrest,thrombolysis therapy with 50 mg of rt-PA may restore spontaneous circulation and boost 24-hour survival rate.