METHODS: In this study, we reported three unique cases regarding main concerns surrounding cerebrovascular events in thrombolytic therapy in PE-induced CA.
RESULTS: The patient in the case 1 treated with thrombolysis during CPR and finally discharged neurologically intact. The patient in the case 2 received delayed thrombolysis and died eventually. The patient in the case 3 was contraindicated to thrombolysis due to the complication of subarachioid hemorrahage and died within days.
CONCLUSIONS: Our case series highlights three proposed approaches to consider before administering thrombolysis as a treatment option in PE-induced CA patients: (1) prolonging the resuscitation, (2) administering thrombolysis promptly, and (3) ruling out cerebrovascular events.
方法:在本研究中,我们报道了3例独特病例,涉及PE诱导的CA溶栓治疗中脑血管事件的主要关注点.
结果:病例1中的患者在CPR期间接受溶栓治疗,并最终在神经功能上完好无损地出院。病例2患者接受延迟溶栓治疗,最终死亡。病例3中的患者由于动脉下血肿的并发症而禁忌溶栓,并在几天内死亡。
结论:我们的病例系列重点介绍了在PE诱发的CA患者进行溶栓治疗前考虑的三种建议方法:(1)延长复苏时间,(2)及时给予溶栓,(3)排除脑血管事件。