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中度钝性胸部创伤后早期双侧肺栓塞:一例报告

Early bilateral pulmonary embolism following a moderate blunt chest trauma: A case report.

作者信息

Zinoune Lamyae, Darar Charmake, Aichouni Narjisse, Nasri Siham, Skiker Imane, El Ouafi Noha, Bazid Zakaria

机构信息

Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.

Department of Cardiology, Mohammed VI University Hospital/Mohammed I University, Oujda, Morocco.

出版信息

Radiol Case Rep. 2021 Dec 28;17(3):759-762. doi: 10.1016/j.radcr.2021.12.003. eCollection 2022 Mar.

Abstract

Post-traumatic pulmonary embolism (PE) remains a major problem in cardio-pulmonary diseases and represent the third most common cause of death in trauma patients. Traditional PE occur most commonly between the fifth and the seventh day after a major trauma and are rare before the fourth day. Here, we report a case of acute pulmonary embolism developing 1 day after a moderate thoracic injury in a previously well young man. The diagnosis was made by non-invasive methods and the patient was given anticoagulation therapy with good outcome. The circumstances and the early occurrence of PE in this case is at odds with what is generally reported after trauma.

摘要

创伤后肺栓塞(PE)仍是心肺疾病中的一个主要问题,是创伤患者第三大常见死因。传统的肺栓塞最常发生在重大创伤后的第五至第七天,第四天之前很少见。在此,我们报告一例在一名既往健康的年轻男性中度胸部损伤后1天发生急性肺栓塞的病例。通过非侵入性方法做出诊断,患者接受抗凝治疗,效果良好。该病例中肺栓塞的情况及早期发生与创伤后一般报道的情况不一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f730/8718493/394671dd5058/gr1a.jpg

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