脊髓损伤患者中表现为急性行为障碍的肺栓塞

Pulmonary embolism manifesting as acute disturbances of behavior in patients with spinal cord injury.

作者信息

Frisbie J H, Sharma G V

机构信息

Spinal Cord Injury Service, Department of Veterans Affairs Medical Center, Brockton, MA 02401.

出版信息

Paraplegia. 1994 Aug;32(8):570-2. doi: 10.1038/sc.1994.90.

DOI:10.1038/sc.1994.90

PMID:7970863

Abstract

Pulmonary embolism (PE) presented with short lived behavioral disturbances (BD) in four out of 13 consecutive patients with a proven PE. Three patients died of PE with evidence of recurrent thromboembolic disease at autopsy and one survived with PE (demonstrable by lung scanning). It is concluded that an acute behavioral disturbance in the acute spinal cord injury (SCI) patient can indicate PE, and the recognition of this possibility should lead to prompt investigation for pulmonary embolism.

摘要

在连续13例经证实患有肺栓塞（PE）的患者中，有4例出现了短暂的行为障碍（BD）。3例患者死于肺栓塞，尸检时有复发性血栓栓塞性疾病的证据，1例肺栓塞患者存活（肺部扫描可证实）。结论是，急性脊髓损伤（SCI）患者出现急性行为障碍可能提示肺栓塞，认识到这种可能性应促使对肺栓塞进行及时检查。