Hung S C, Tai C T
Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi (Taipei). 2000 Jun;63(6):487-91.
A patient with Parkinson's disease was admitted because of recurrent chest pain and dyspnea. Based on high clinical suspicion and a high-probability lung scan, the diagnosis of pulmonary embolism was made. Anticoagulation therapy was administered and the patient remained free of symptoms during the follow-up period of two years. Pulmonary embolism is reported as a possible adverse reaction to levodopa therapy and a frequent, but under-recognized cause of death in patients with parkinsonism. Clinicians should think of pulmonary embolism, a common yet difficult diagnosis, when a parkinsonian patient presents with chest pain and dyspnea.
一名帕金森病患者因反复胸痛和呼吸困难入院。基于高度的临床怀疑和高概率的肺部扫描结果，确诊为肺栓塞。给予抗凝治疗，患者在两年的随访期内未再出现症状。据报道，肺栓塞是左旋多巴治疗可能的不良反应，也是帕金森病患者常见但未被充分认识的死亡原因。当帕金森病患者出现胸痛和呼吸困难时，临床医生应考虑到肺栓塞这一常见但诊断困难的疾病。
