Lokale Streptokinasebehandlung bei akuter Lungenembolie mit Schock

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Abstract
Streptokinase (290,000 U/2 h) was directly infused under angiographic control into the predominantly affected right pulmonary artery in a 71-yr-old patient with acute pulmonary embolism and persistent shock. This led to immediate complete remission of shock symptoms and lasting stabilization of the patient. If, as this case demonstrates, embolectomy is not possible and high-dose i.v. streptokinase is contraindicated, localized use of streptokinase in low dosage offers a possibility for treatment of life-threatening pulmonary embolism.

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