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ISSN 2448-8909 (Impreso)

2009, Número 4

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Med Crit 2009; 23 (4)


Tromboembolia pulmonar masiva: Caso clínico, manejo y revisión de la literatura

Bourlon CRA, Bourlon RC, Martínez MJ, Pérez PI, Vera UR, Herrera AV

Idioma: Español
Referencias bibliográficas: 23
Paginas: 234-240
Archivo PDF: 304.53 Kb.


RESUMEN

La tromboembolia pulmonar masiva es un padecimiento usualmente fatal en donde el diagnóstico y tratamiento tempranos son esenciales para disminuir la mortalidad. El criterio usual para dar el diagnóstico es la presencia de hipotensión arterial o choque cardiogénico, aunque la presentación clínica suele ser variable e inespecífica. El manejo inicial de todo paciente en el que se tenga la sospecha, es el soporte hemodinámico y ventilatorio, así como la valoración del inicio de la anticoagulación. Posteriormente, las alternativas terapéuticas definitivas incluyen la trombólisis y la embolectomía, existen diferentes parámetros que sugieren qué terapia seguir, pero debe de individualizarse la decisión a cada caso en particular.


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