RESUMO
The results of pulmonary embolism treatment with streptase in 76 patients are discussed. All patients had submassive or massive pulmonary embolism. 66 (86%) of patients recovered. Thrombolysis with the use of heparin was performed in 9 patients, death occurred in 5 of them. Of 20 patients treated with "Actilize", death was reported in three cases. Authors consider alteplase to be highly effective in the treatment of massive pulmonary embolism. In case of late diagnostics of pulmonary embolism, especially recurrent, thrombolytic therapy remains to be effective up to 2 weeks after primary embolization.
Assuntos
Fibrinolíticos/uso terapêutico , Embolia Pulmonar/tratamento farmacológico , Ativador de Plasminogênio Tecidual/uso terapêutico , Adulto , Idoso , Idoso de 80 Anos ou mais , Angiografia , Aspirina/administração & dosagem , Aspirina/uso terapêutico , Feminino , Fibrinolíticos/administração & dosagem , Heparina/administração & dosagem , Heparina/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Inibidores da Agregação Plaquetária/administração & dosagem , Inibidores da Agregação Plaquetária/uso terapêutico , Embolia Pulmonar/diagnóstico , Embolia Pulmonar/diagnóstico por imagem , Embolia Pulmonar/mortalidade , Estreptoquinase/administração & dosagem , Estreptoquinase/uso terapêutico , Fatores de Tempo , Ativador de Plasminogênio Tecidual/administração & dosagem , Resultado do TratamentoRESUMO
The experience of 3-D X-ray contrast rotational angiography use is analysed. The case examples of virtual applications use on various anatomic areas are described. Informational value of routine and 3-D angiography is comparatively evaluated. The preferences of modern technology is showed.
