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Fibrinolysis of pulmonary emboli - Steer closer to scylla

机译:肺栓子的纤维蛋白溶解-转向更靠近椎弓根

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摘要

According to Homer, Odysseus was forced to choose whether to steer his ship closer to Scylla, a six-headed sea monster, or Charybdis, a ship-swallowing whirlpool. Odysseus steered closer to Scylla, risking the loss of a few sailors, rather than risking an entire ship and crew. Much like Odysseus, the physician treating a patient with acute pulmonary embolism occasionally must navigate treacherous waters. The risk of fatal thromboembolism stands on one side, and the risk of fatal bleeding lies just opposite. Unlike Odysseus, the physician has empirical evidence to guide decisions, but tragic outcomes occur sometimes, no matter how carefully the physician navigates.
机译:根据荷马的说法,奥德修斯被迫选择将自己的船转向更靠近六头海怪的锡拉(Sylla)还是吞噬船的漩涡涡(Charybdis)。奥德修斯飞向Scylla更近,冒着失去一些水手的风险,而不是冒着整个船舰和船员的风险。就像奥德修斯(Odysseus)一样,治疗患有急性肺栓塞的患者的医生有时也必须穿越危险的水域。致命性血栓栓塞的风险在一侧,而致命性出血的风险则恰好相反。与奥德修斯不同,医生有经验证据可以指导决策,但是无论医生如何谨慎行事,有时都会发生悲剧性结局。

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