Tromboembolismo pulmonar: abordagem prática

Autores

  • Tiago Tribolet de Abreu Interno do Internato Complementar de Medicina Interna, Serviço de Medicina II, Hospitais Universitários de Coimbra
  • Maria José Galo Interna do Internato Geral, Serviço de Medicina II dos Hospitais da Universidade de Coimbra
  • José Correia Assistente Graduado de Medicina Interna, Serviço de Medicina II dos Hospitais da Universidade de Coimbra

Palavras-chave:

tromboembolismo pulmonar, diagnóstico, terapêutica, trombólise

Resumo

Introdução: O tromboembolismo pulmonar é uma situação frequente, com mortalidade elevada e de diagnóstico difícil. Nos últimos anos, surgiram alguns novos dados importantes para a sua abordagem diagnóstica e terapêutica.

Objectivos: Os autores procuraram rever o estado da arte desta patologia, incorporando os novos dados numa abordagem prática, diagnóstica e terapêutica, a dois tempos (no serviço de urgência e na enfermaria).

Resultados e conclusões: A abordagem diagnósti­ca no serviço de urgência desta situação deverá incidir sobre uma clínica, que é altamente sensível, embora pouco específica. A confirmação diagnóstica baseia-se em exames complementares, alguns deles realizáveis no serviço de urgência, mas outros só possíveis em segundo tempo. A terapêutica anticoagulante deverá ser iniciada de imediato, no serviço de urgência e mesmo antes da confirmação diagnóstica. A fibrinólise, nos casos específicos em que está indicada, diminui a mortalidade e a morbilidade.

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Publicado

31-03-2000

Como Citar

1.
Tribolet de Abreu T, Galo MJ, Correia J. Tromboembolismo pulmonar: abordagem prática. RPMI [Internet]. 31 de Março de 2000 [citado 3 de Outubro de 2024];7(1):35-41. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/1967

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