Thrombolytic use in patients with a history of recent trauma: a case report

Abstract

Massive embolism, unlike submassive embolism, is a condition that should be given thrombolytic therapy. Thrombolytic use in patients with a history of recent trauma is controversial in terms of bleeding. “Recent history of trauma/surgery/head injury” are among the major contraindications of thrombolytic therapy in major embolism. The note of absolute contraindications is that absolute contraindications of thrombolytic therapy in myocardial infarction can be thought relative contraindications in high-risk patients with pulmonary embolism. Considering profit and loss account, trauma is regarded as relative contraindication in our patient and the clinic is improved rapidly. This case, an example of the transition of major contraindication to relative contraindication, is thought to be questionable according to the variety of the trauma.