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01121 Journal of Nara Medical Association >
Vol.48 No.5 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/393
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Title: | 肺梗塞の診断に緊急MRAが有用であった1例 |
Other Titles: | A CASE OF PULMONARY EMBOLISM DIAGNOSED BY MAGNETIC RESONANCE ANGIOGRAPHY |
Authors: | 佐々木, 弥寿延 川本, 篤彦 上村, 史朗 橋本, 俊雄 土肥, 和紘 藤田, 泰三 平井, 純 |
Keywords: | diagnostic use echocardiography magnetlc resonance angiography pulmonary embolism |
Issue Date: | 31-Oct-1997 |
Publisher: | 奈良医学会 |
Citation: | 奈良医学雑誌 Vol.48 No.5 p.288-292 |
Abstract: | A 72-year-old woman was admitted to our hospital after developing
dyspnea and chest pain. Arterial blood gas examination showed severe hypoxia. Doppler
echocardiography showed a marked increase in pulmonary artery systolic pressure to 70
mmHg. Magnetic resonance angiography (MRA) indicated that there was a thrombus in
the right pulmonary artery. Based on these results, the patient was diagnosed as having
pulmonary artery embolism for which she received heparin and urokinase for 7 and 3 days,
respectively. From the 5th day of hospitalization, she received warfarin to prevent the
recurrence of pulmonary artery thrombosis. On the 40th day, repeat MRA revealed that
the thrombus in the right pulmonary artery had resolved. Repeat doppler echocardiography
showed that the pulmonary artery systolic pressure had decreased to 23 mmHg. MRA is
useful for the noninvasive diagnosis of pulmonary artery embolism and the accurate
evaluation of the efficacy of thrombolytic therapy. |
URI: | http://hdl.handle.net/10564/393 |
ISSN: | 04695550 13450069 |
Appears in Collections: | Vol.48 No.5
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