1病历摘要女,48岁。在乳腺癌切除术后,精神不振,卧床10 d。首次下床活动后,忽发胸闷、气短、晕厥、面色苍白、脉搏细速,周身湿冷。当时测BP 60/40 mm Hg,随之心跳、呼吸停止。立即行心肺复苏,临床高度疑诊急性大面积肺栓塞,生命危在旦夕。为了挽救患者生命,立即予尿激酶150万U, 1 medical record summary female, 48 years old. After breast cancer resection, she was in bed for 10 days. The first time after getting out of bed activities, suddenly found chest tightness, shortness of breath, syncope, pale, pulse fine speed, whole body wet. At that time BP 60/40 mm Hg, followed by heartbeat, breathing stopped. Immediate cardiopulmonary resuscitation, a high degree of clinical suspicion of acute large area pulmonary embolism, life at stake. In order to save the lives of patients, urokinase 1.5 million U immediately,