Clinical Fellow in Obstetrics Anaesthetic Department, Leicester Royal Infirmary, Leicester, UK.
Consultant anaesthetists, Leicester Royal Infirmary, Leicester, UK.
J Med Case Rep. 2024 Oct 19;18(1):481. doi: 10.1186/s13256-024-04831-6.
This is an interesting and unexpected thromboembolic event in a hemophiliac patient.
This is a case of a 33-year-old primigravidarum of Indian Asian origin with Factor V and Factor VIII deficiency who developed a case of pulmonary embolism during the course of her pregnancy after presenting to the emergency department in Leicester, United Kingdom, with hemoptysis, tachycardia, and tachypnea. Patient was subsequently diagnosed with pulmonary embolism after a computed tomography pulmonary angiogram and was treated with therapeutic daltaparin, a low-molecular-weight heparin.
In conclusion, a thromboembolic event is not an improbable event in a hemophiliac patient and should be considered despite a low Well's score.
这是一位血友病患者中出现的有趣且意外的血栓栓塞事件。
这是一位来自印度裔的 33 岁初产妇，患有因子 V 和因子 VIII 缺乏症，在英国莱斯特的急诊室因咯血、心动过速和呼吸急促就诊后，在怀孕期间发生了肺栓塞。患者随后通过计算机断层扫描肺动脉造影被诊断为肺栓塞，并接受了达肝素（一种低分子量肝素）的治疗。
总之，即使 Wells 评分较低，也应考虑到血栓栓塞事件在血友病患者中并非不可能发生。
