AI Summary & Key Takeaways
AI InsightThe patient was discharged with effective anticoagulant therapy.
📌 3 Key Takeaways
Abstract
A 76-year-old male patient diagnosed with acute, massive pulmonary embolism due to deep vein thrombosis of a lower extremity developed significant cardiovascular and respiratory instability. Subsequently, streptokinase infusion was administered over two hours. Spiral computed tomography was performed due to the persistent hemodynamic instability following the thrombolytic therapy. Computed tomography showed persistent massive pulmonary embolism. In the light of literature data, the patient was recommended for surgical pulmonary embolectomy, however he refused surgery. Therefore, he was administered intravenous recombinant tissue type plasminogen activator over two hours. Clinic status of the patient and radiological findings were significantly improved following therapy. The patient was discharged with effective anticoagulant therapy.
Özet
Alt ekstremite derin ven trombozuna bağlı oluşan akut, masif pulmoner emboli tanısı konmuş 76 yaşında erkek hastada ciddi kardiyovasküler ve solunumsal instabilite gelişti. Takiben hastaya iki saat süreyle streptokinaz infüzyonu verildi. Trombolitik tedavi sonrası hemodinamik kararsızlığın devam etmesi üzerine, spiral bilgisayarlı tomografi çekildi. Bilgisayarlı tomografi, masif pulmoner embolinin sebat ettiğini gösterdi. Literatür verileri ışığında hastaya cerrahi pulmoner embolektomi önerildi; ancak hasta cerrahiyi reddetti. Bunun üzerine hastaya iki saat süreyle intravenöz rekombinant doku tipi plazminojen aktivatörü verildi. Tedavi sonrasında hastanın klinik durumu ve radyolojik bulguları belirgin olarak düzeldi. Hasta efektif antikoagülan tedavi ile taburcu edildi.