Treatment of Massive Pulmonary Embolism with Urokinase during Surgery for Femur Fracture.
10.4097/kjae.2000.39.3.447
- Author:
Soon Im KIM
1
;
Hyung Bin PARK
;
Sang Yoon LEE
;
Min Su HYON
Author Information
1. Department of Anesthesiology Soonchuhyang University Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Complications: pulmonary embolism;
intraoperative;
Pharmacology: thrombolytic agents;
urokinase;
Surgery: femur fracture
- MeSH:
Echocardiography;
Femur*;
Heart Arrest;
Pulmonary Embolism*;
Urokinase-Type Plasminogen Activator*
- From:Korean Journal of Anesthesiology
2000;39(3):447-452
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A massive pulmonary embolism occurring during surgery is a fatal complication. Therefore, early detection and subsequent treatment of pulmonary emboli are important clinical challenges. In this report, an acute pulmonary embolism associated with cardiac arrest occurred during the surgical reduction of a femur fracture. It was diagnosed by echocardiography and treated with urokinase successfully. Therefore, we recommend the use of urokinase for the treatment of a intraoperative massive pulmonary embolism.
