What does no acute intrathoracic process mean

Pulmonary embolism

In the case of acute pulmonary embolism, therapy must be initiated before a diagnosis can be made. In the hospital, the person concerned is supplied with oxygen via a mask; in severe cases, this is done via a ventilator, the circulation is stabilized.


Step 1

The first treatment step is with anticoagulants (blood-thinning medication, heparin or fondaparinux) to restore blood flow. This treatment takes about 5 days.


2nd step

Dissolution of the blood clot only in the case of massive pulmonary embolism with circulatory failure! (otherwise only steps 1 and 3).


In the so-called lysis therapy, thrombolytics are used to dissolve the thrombus, which inhibit blood clotting. For this purpose, fibrinolytics, such as the substances streptokinase and urokinase, are administered intravenously.


If the thrombus does not loosen, surgery or minimally invasive surgery (embolectomy) must be performed to destroy the clot and normalize blood flow.


3rd step

Overlapping the anticoagulant therapy, vitamin K antagonists (anticoagulant drugs such as phenprocoumon) are administered. They have to be taken for 3 months to prevent blood clotting in the vessels.


Patients with non-acute pulmonary embolism are initially treated with anticoagulants for 5 days, after which long-term treatment with vitamin K antagonists is recommended.