PTE (pulmonary thromboembolism)

1. PTE definition - Pulmonary embolus (PE) : obstruction of the pulmonary artery or one of its branches by material (ex, thrombus, tumor, air, or fat) 2. Diagnosis ① EKG : S. tachycardia, S1Q3T3 ② D-dimer : VTE배제하기에 좋은 Blood test. ③ chest CT angiography : filling defect확인. **wells criteria** 3. PTE treatment. ① anticoagulant - enoxaparin (1 mg/kg SC) - heparin (80 units/kg IV bolus -> 18 units/kg/h) ② Alteplase (tissue plasminogen activator) : dosed at 100 mg IV over 2 hours. : 10mg IV bolus -> 90mg 2hr동안 infusion. *v/s stable한 경우 치료 알고리즘. *v/s unstable한 경우 치..........

원문링크 : PTE (pulmonary thromboembolism)