PDF(Pubmed)
Abstract：
While in labor, a 37-year-old woman developed acute dyspnea, hypoxemia, and tachycardia. Transthoracic echocardiography demonstrated severe right ventricular dilation and dysfunction, raising the suspicion of acute pulmonary embolism. The patient indeed had bilateral pulmonary embolism, necessitating percutaneous thrombectomy. Her course was complicated by another saddle pulmonary embolus, heparin-induced thrombocytopenia, and COVID-19 infection. This clinical case illustrates the importance of prompt diagnosis of acute pulmonary embolism in a peripartum female patient, the multidisciplinary approach of management, and how to approach clinical complications such as heparin-induced thrombocytopenia. Furthermore, long-term management in acute pulmonary embolism is presented.
摘要：
在劳动中，一名37岁女性出现急性呼吸困难,低氧血症,和心动过速.经胸超声心动图显示严重的右心室扩张和功能障碍，怀疑是急性肺栓塞.病人确实有双侧肺栓塞,需要经皮血栓切除术。她的病程因另一个鞍状肺栓塞而变得复杂，肝素诱导的血小板减少症,和COVID-19感染。此临床病例说明了在围产期女性患者中迅速诊断急性肺栓塞的重要性，多学科管理方法，以及如何处理肝素诱导的血小板减少症等临床并发症。此外，介绍了急性肺栓塞的长期管理。
