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Optional therapeutic strategies based on clinically different types of acute pulmonary embolism
Lemin Wang1, Lin Wei, Yajun Liu
1Department of Cardiology, Tongji Hospital, Tongji University, Shanghai 200065, China.
Objective:
To establish a clinical classification of pulmonary embolism (PE), and to evaluate the optional treatment strategies for different types of PE.
Methods:
From December 1995 to July 2001, 45 patients with acute PE were hospitalized, of which 33 received intravenous thrombolytic therapy or interventional treatment.
Results:
Misdiagnostic rate in the 45 patients with acute PE during first visit was 62.2% and mortality rate was 28.9%. Misdiagnostic rate in acute PE patients who had undergone surgery was 82% and mortality rate was 73%. The effective rate of thrombolytic therapy was 77.7%. Clinical symptoms rapidly disappeared in massive PE patients treated with interventional therapies.
Conclusions:
Intravenous thrombolytic therapy is one of the most effective methods for treating acute PE. Application of interventional therapy for severe acute PE is also promising.