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Massive pulmonary embolism during pregnancy treated with streptokinase

A 24-year-old multipara 34 weeks pregnant presented in shock due to massive pulmonary embolism. Recovery followed thrombolytic therapy, although fetal death occurred early. There were no serious maternal side effects, although hypofibrinogenaemia occurred. Thrombolytic therapy is considered to offer advantages over heparin in this situation.

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