Author/Editor		Kozak, Matija; Možina, Hugon
Title		Zdravljenje pljučne embolije
Translated title		Management of pulmonary embolism
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 2
Publication year		2000
Volume		str. 101-7
Language		slo
Abstract		Pulmonary embolism (PE) ranges from incidental and clinically unimportant thromboembolisms to massive embolisms which cause sudden death. Therefore, the treatment of PE depends on the clinical picture. Anticoagulant therapy with heparin or low-molecular-weight heparin followed by warfarin is an effective treatment for all types of PE. Sometimes, hemodynamically unstable patients or patients with right ventricular overload can be treated with thrombolytics before anticoagulants. Treatment should be supported, when necessary, by the administration of oxygen, inotropic drugs, liquids and even mechanical ventilation.
Summary		Pljučna embolija (PE) obsega cel spekter različnih kliničnih slik. Bolniki so lahko povsem neprizadeti ali pa lahko na drugi strani nenadoma umrejo zaradi masivne PE. Tem stanjem se prilagaja tudi način in obseg zdravljenja PE. Antikoagulacijsko zdravljenje s heparinom ali s heparinom z majhno molekulsko maso, ki mu sledi zdravljenje z varfarinom, je pri PE učinkovito. Le pri bolnikih s hemodinamsko prizadetostjo ali pa z akutno obremenitvijo desnega prekata je smiselno zdravljenje s trombolitiki. Bolnike s PE, glede na potrebe, zdravimo tudi s kisikom, inotropnimi zdravili, tekočino ali celo z mehanično ventilacijo.
Descriptors		PULMONARY EMBOLISM HEPARIN THROMBOLYTIC THERAPY WARFARIN OXYGEN INHALATION THERAPY RESPIRATION, ARTIFICIAL CARDIOTONIC AGENTS EMBOLECTOMY