Burnham Jeremy M, Broussard Marlene, Milbrandt Todd
University of Kentucky Department of Orthopaedic Surgery and Sports Medicine.
Louisiana State University Health Sciences Center - Shreveport Department of Pediatrics.
Iowa Orthop J. 2014;34:107-10.
Pulmonary embolism is a life-threatening but treatable condition. Factors such as hypercoagulability and recent lower extremity surgery are associated with a higher incidence of thrombus formation and pulmonary embolism. Patients with sickle cell disease have a baseline hypercoaguable state and are at a greater risk forming deep vein thrombosis and pulmonary embolism than the general population. This increased risk is rarely cited in the literature. We describe a sickle cell patient two-weeks status-post total hip arthroplasty who presented with bilateral pulmonary embolism complaining of chest and shoulder pain. We highlight the need to include pulmonary embolism in the differential diagnosis of all sickle cell patients complaining of chest pain.
肺栓塞是一种危及生命但可治疗的疾病。高凝状态和近期下肢手术等因素与血栓形成和肺栓塞的发生率较高有关。镰状细胞病患者存在基线高凝状态，与普通人群相比，发生深静脉血栓形成和肺栓塞的风险更高。这种增加的风险在文献中很少被提及。我们描述了一名全髋关节置换术后两周的镰状细胞病患者，该患者出现双侧肺栓塞，主诉胸痛和肩痛。我们强调，对于所有主诉胸痛的镰状细胞病患者，在鉴别诊断中都需要考虑肺栓塞。
