大面积肺栓塞死亡率很高,有效的治疗方法是全身溶栓。如果溶栓失败,我们还可以通过手术取栓或者经皮导管溶栓。但是,在一些非专业性医院可能实施不了这两种抢救措施。我们有一病例,25岁年轻女性患者,因大面积肺栓塞导致心脏骤停。在经过90分钟心肺复苏以及全身溶栓失败后,给予肺动脉导管和肺内溶栓治疗。一个月后神经功能明显得到改善,且肺动脉压正常。 Large area of ​​pulmonary embolism mortality is high, the effective treatment is systemic thrombolysis. If thrombolysis fails, we can also be thrombectomy or percutaneous catheter thrombolysis. However, in some non-specialized hospitals may not implement these two rescue measures. We have a case of a 25-year-old young woman who has had a cardiac arrest due to extensive pulmonary embolism. Pulmonary catheterization and pulmonary thrombolysis were given after a 90-minute cardiopulmonary resuscitation and systemic thrombolysis failure. Neurological function improved significantly one month later, and pulmonary arterial pressure was normal.