Wilson K H, Tuazon C U
J Trauma. 1980 Mar;20(3):259-61. doi: 10.1097/00005373-198003000-00014.
A patient who fell on his right leg from a scaffold presented with fever of unknown etiology. Complete workup to rule out infectious causes for his fever was nonrevealing. Because of a history of transient episodes of dyspnea, lung scan was performed which was compatible with pulmonary emboli. Response to heparin therapy was dramatic. Thus, in patients with history of trauma and are bedridden for a long period of time who present with fever one should have a high index of suspicion for pulmonary emboli.
一名从脚手架上摔下导致右腿受伤的患者出现了病因不明的发热症状。为排除发热的感染性病因进行的全面检查未发现异常。由于患者有短暂性呼吸困难病史，遂进行了肺部扫描，结果显示与肺栓塞相符。肝素治疗反应显著。因此，对于有创伤史且长期卧床并出现发热的患者，应高度怀疑肺栓塞。
