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Journals / Solunum / 2009 / Cilt: 11 - Sayı: 2

Pulmonary thromboembolism in a case with ıntracerebral hemorrhage

İntraserebral hemorajili bir olguda gelişen pulmoner tromboembolizm

Gamze KIRKIL
FİGEN DEVECİ
Tevfik TURGUT
Suat TÜRKOĞLU
Mehmet Hamdi MUZ
Journal
Solunum
Pages
81–83
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Low dose UFH therapy can be an alternative in patients who develop PE after ICH.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Patients with intracerebral hemorrhage (ICH) who subsequently develop deep vein thrombosis (DVT) and/or pulmonary embolism (PE) present a difficult therapeutic dilemma.
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Key Findings & Data:A 46-year-old man with ICH after an hypertension attack underwent craniotomy for discharging the hematoma.
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Conclusion & Impact:Low dose UFH therapy can be an alternative in patients who develop PE after ICH.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Orta yaşlı · Pulmoner emboli · Antikoagülanlar

Abstract

Patients with intracerebral hemorrhage (ICH) who subsequently develop deep vein thrombosis (DVT) and/or pulmonary embolism (PE) present a difficult therapeutic dilemma. We herein report the therapy of PE in a case with ICH. A 46-year-old man with ICH after an hypertension attack underwent craniotomy for discharging the hematoma. After operation DVT occured on his left leg. On the 4th day of low molecular weight heparin therapy, respiratory distress appeared, and CT scan of thorax showed a thrombus on the distal segmentary branch of the left main pulmonary artery, so low dose unfractioned heparin (UFH) (5000 U tid) started. During follow period clinical and laboratory findings improved and the patient discharged by ordering anticoagulant therapy. Low dose UFH therapy can be an alternative in patients who develop PE after ICH.

Özet

İntraserebral hemorajisi (İSH) olan ve sonradan derin ven trombozu (DVT) ve/veya pulmoner emboli (PE) gelişen hastalarda terapötik yaklaşım oldukça sıkıntılıdır. Bu yazıda PE oluşumuyla sonuçlanan İSH?lı bir olguya terapötik yaklaşım sunulmuştur. Hipertansif atak sonrası İSH gelişen 46 yaşındaki erkek hastada kraniotomi ile hematom boşaltılmasını takiben sol alt ekstremitede DVT gelişti. Başlanan düşük molekül ağırlıklı heparin tedavisinin 4. gününde solunum sıkıntısı gelişmesi üzerine çekilen toraks BT?de sol ana pulmoner arter distal segmenter dalında lümen içinde trombüs ile uyumlu görünüm tespit edildi. Bunun üzerine hastaya düşük doz fraksiyone edilmemiş heparin (UFH) (5000 U 331) başlandı. Takiplerinde klinik ve laboratuar bulguları düzelen hasta antikoagülan tedavisi düzenlenerek taburcu edildi. İSH?lı olgularda gelişen PE?de düşük doz UFH tedavisi bir seçenek olabilir.

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Cite This Article

KIRKIL, G., DEVECİ, F., TURGUT, T., TÜRKOĞLU, S., MUZ, M. H. (2009). Pulmonary thromboembolism in a case with ıntracerebral hemorrhage. Solunum, Cilt: 11 - Sayı: 2, 81–83. https://ajindex.com/articles/314548

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