Resumo

CALCINES SANCHEZ, Eloy et al. Thrombolysis in post-surgery pulmonary thromboembolism. Presentation of a case. Rev. Med. Electrón. [online]. 2010, vol.32, n.5. ISSN 1684-1824.

The current case states the utility of the streptokinase in the pulmonary thromboembolism, with a great hemodynamic repercussion. Of greatest relevance is the fact of being a post-surgery patient, period in which post-surgery pulmonary thromboembolism risk is higher, and fearing bleeding motivates surgeon to refuse anticoagulation. We presented an updated review of the theme and the experience of a patient with post-surgery pulmonary thromboembolism treated with streptokinase in the Clinical Teaching Provincial Hospital José Ramón Lopez Tabrane, of Matanzas , monitored with a catheter of pulmonary artery, evidencing a dissociation between pulmonary diastolic pressure and wedge pressure. He received streptokinase via continuous infusion, with a satisfactory clinical and hemodynamic answer.

Palavras-chave : ABDOMINAL PAIN [diagnosis]; ABDOMINAL PAIN [surgery]; PANCREATITIS [diagnosis]; PULMONARY EMBOLISM [epidemiology]; PULMONARY EMBOLISM [diagnosis]; PULMONARY EMBOLISM [drug therapy]; THROMBOLYTIC THERAPY [methods]; STREPTOKINASE [therapeutic use ]; CASE REPORTS ; HUMANS; MALE ; MIDDLE AGED .

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