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创伤性肺栓塞

Traumatic Pulmonary Embolism.

作者信息

Ventrapragada Karthik, Wright Alexis, Tahir Sana, Tartaglia Lisa, Ganti Latha

机构信息

Biomedical Sciences, University of Central Florida, Orlando, USA.

Medical School, Lewis Katz School of Medicine, Temple University, Philadelphia, USA.

出版信息

Cureus. 2024 Jul 15;16(7):e64614. doi: 10.7759/cureus.64614. eCollection 2024 Jul.

DOI:10.7759/cureus.64614
PMID:39156300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328824/
Abstract

Pulmonary embolism (PE) is a life-threatening illness caused by a blood clot obstructing a pulmonary artery, resulting in decreased blood supply to the lungs. PE is a high-stakes diagnosis with considerable morbidity and death if left untreated. This case emphasizes the increased risk of PE associated with trauma and stresses the importance of this differential diagnosis in patients who report dyspnea following physical trauma. Understanding the risk factors and processes that contribute to PE in trauma patients is critical for accurate diagnosis and treatment.

摘要

肺栓塞(PE)是一种由血凝块阻塞肺动脉导致肺部血液供应减少而引起的危及生命的疾病。肺栓塞是一种高风险诊断,如果不治疗会导致相当高的发病率和死亡率。该病例强调了与创伤相关的肺栓塞风险增加,并强调了对身体创伤后出现呼吸困难的患者进行这种鉴别诊断的重要性。了解创伤患者发生肺栓塞的风险因素和过程对于准确诊断和治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50ea/11328824/042f4e6ce173/cureus-0016-00000064614-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50ea/11328824/30d7ffe17b2e/cureus-0016-00000064614-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50ea/11328824/042f4e6ce173/cureus-0016-00000064614-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50ea/11328824/30d7ffe17b2e/cureus-0016-00000064614-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50ea/11328824/042f4e6ce173/cureus-0016-00000064614-i02.jpg

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本文引用的文献

1
Clinical significance of elevated D-dimer in emergency department patients: a retrospective single-center analysis.急诊科患者D-二聚体升高的临床意义:一项回顾性单中心分析。
Int J Emerg Med. 2024 Apr 3;17(1):47. doi: 10.1186/s12245-024-00620-6.
2
Intermediate-Risk Pulmonary Embolism: A Review of Contemporary Diagnosis, Risk Stratification and Management.中危肺栓塞:当代诊断、风险分层和管理的综述。
Medicina (Kaunas). 2022 Aug 30;58(9):1186. doi: 10.3390/medicina58091186.
3
Early bilateral pulmonary embolism in a polytrauma patient: About a case report.
一名多发伤患者早期双侧肺栓塞:病例报告
Ann Med Surg (Lond). 2022 May 30;78:103868. doi: 10.1016/j.amsu.2022.103868. eCollection 2022 Jun.
4
Trauma-induced pulmonary thromboembolism: What's update?创伤性肺血栓栓塞症:有哪些新进展?
Chin J Traumatol. 2022 Mar;25(2):67-76. doi: 10.1016/j.cjtee.2021.08.003. Epub 2021 Aug 5.
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Endothelial cells and coagulation.内皮细胞与凝血。
Cell Tissue Res. 2022 Mar;387(3):391-398. doi: 10.1007/s00441-021-03471-2. Epub 2021 May 20.
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Post-traumatic pulmonary embolism: incidence, physiopathology, risk factors of early occurrence, and impact outcome. A narrative review.创伤后肺栓塞:发病率、病理生理学、早期发生的危险因素及影响预后。一篇叙述性综述。
Am J Cardiovasc Dis. 2020 Oct 15;10(4):432-443. eCollection 2020.
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Acute pulmonary embolism multimodality imaging prior to endovascular therapy.急性肺栓塞血管内治疗前的多模态影像学检查。
Int J Cardiovasc Imaging. 2021 Jan;37(1):343-358. doi: 10.1007/s10554-020-01980-9. Epub 2020 Aug 30.
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Risk Stratification of Pulmonary Embolism.肺栓塞的风险分层。
Crit Care Clin. 2020 Jul;36(3):437-448. doi: 10.1016/j.ccc.2020.02.002. Epub 2020 May 12.
9
Risk factors for pneumonia following rib fractures.肋骨骨折后肺炎的风险因素。
Am J Emerg Med. 2020 Mar;38(3):610-612. doi: 10.1016/j.ajem.2019.10.021. Epub 2019 Nov 18.
10
Deep vein thrombosis: pathogenesis, diagnosis, and medical management.深静脉血栓形成:发病机制、诊断及药物治疗
Cardiovasc Diagn Ther. 2017 Dec;7(Suppl 3):S276-S284. doi: 10.21037/cdt.2017.09.01.