ACUTE HYPOXEMIC RESPIRATORY-FAILURE FOLLOWING INTRAPLEURAL THROMBOLYTIC THERAPY FOR HEMOTHORAX

Authors
FRYE MD JARRATT M SAHN SA
Citation
Md. Frye et al., ACUTE HYPOXEMIC RESPIRATORY-FAILURE FOLLOWING INTRAPLEURAL THROMBOLYTIC THERAPY FOR HEMOTHORAX, Chest, 105(5), 1994, pp. 1595-1596
Citations number
13
Categorie Soggetti
Respiratory System
Journal title
Chest → ACNP
ISSN journal
00123692
Volume
105
Issue
5
Year of publication
1994
Pages
1595 - 1596
Database
ISI
SICI code
0012-3692(1994)105:5<1595:AHRFIT>2.0.ZU;2-K
Abstract
Intrapleural instillation of thrombolytic agents has been useful in th e treatment of hemothorax when thoracostomy tube drainage is unsuccess ful. We present a patient who developed acute hypoxemic respiratory fa ilure following the intrapleural instillation of both streptokinase an d urokinase 24 h apart. Hypoxemia most likely resulted from a direct e ffect of the products of fibrinolysis on the pulmonary circulation.