Buradasınız

Anasayfa » Content

Ortopedik Cerrahide İntraoperatif Masif Pulmoner Emboli

Massive Intraoperative Pulmonary Embolism Due to Orthopaedic surgery

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Despite prophylactic and therapeutic measures, pulmonary embolism still occurs and most orthopaedic surgeons sooner or later suffer the tragic loss of a patient from this life threatening complication. Femur fracture has repeatedly been associated with increases in the risks of pulmonary embolism. As the following case report illustrates, massive pulmonary embolism can occur intraoperatively in a long bone fracture surgery. Acute massive pulmonary embolism usually results in death if not diagnosed early and treated aggressively. Thrombolytic therapy and catheter embolectomy are increasingly used as definitive management. Emergent open embolectomy is often reserved as a last resort when less invasive methods have failed or the patient is in cardiopulmonary arrest.
Bookmark/Search this post with
Abstract (Original Language): 
Terapötik ve proflaktik tedbirlere rağmen pulmoner embolizm halen meydana gelmektedir ve çoğu ortopedik cerrah bu ölümcül komplikasyon nedeniyle er geç bir hastasını trajik şekilde kaybetmektedir. Femur kırığı pulmoner emboli riskini kat kat artırmaktadır. Olgu sunumumuzda belirtildiği gibi, akut masif pulmoner emboli uzun kemiklerin cerrahisi sırasında meydana gelebilir. Akut masif pulmoner emboli erken teşhis edilip agresif şekilde tedavi edilmezse genellikle ölümcül seyreder. Trombolitik tedavi ve kateter embolektomi kesin tedavide giderek daha fazla kullanılmaktadır. Acil açık embolektomi daha az invaziv metodlar işe yaramadığında veya hasta kardiyopulmoner arrest geçirdiğinde sıklıkla başvurulan son çaredir.
FULL TEXT (PDF): 
PDF icon arastirmax-ortopedik-cerrahide-intraoperatif-masif-pulmoner-emboli.pdf
  • 4
150-152
  • Turkish

REFERENCES

References: 

1. Geerts WH, Pineo GF, Heit JA, Bergqvist D, Lassen MR,
Colwell CW, et al. Prevention of venous thromboembolism: the
Seventh ACCP Conference on Antithrombotic and Thrombolytic
Therapy. Chest 2004;126(3 Suppl):338S-400S.
2. Altintas F. Thromboembolism in hip and knee arthroplasties.
[Article in Turkish] Acta Orthop Traumatol Turc 2000;34:100-9.
3. Warwick D, Friedman RJ, Agnelli G, Gil-Garay E, Johnson
K, FitzGerald G, et al. Insufficient duration of venous
thromboembolism prophylaxis after total hip or knee
replacement when compared with the time course of
thromboembolic events: findings from the Global Orthopaedic
Registry. J Bone Joint Surg [Br] 2007;89:799-807.
4. Beksac B, Gonzalez Della Valle A, Salvati EA. Thromboembolic
disease after total hip arthroplasty: who is at risk? Clin Orthop
Relat Res 2006;(453):211-24.
5. Altıntaş F, Gürbüz H, Erdemli B. Majör ortopedik cerrahilerde
venöz tromboemboli profilaksisi:Çokmerkezli, prospektif,
gözlem çalışması. Acta Orthop Traumatol Turc 2008;42(5):322-
7.
6. Goldhaber SZ. Pulmonary embolism. Braunwald’s heart disease
7th edition. Elsevier Saunders. Philadelphia, 2005;p:1791-93.
7. Dalen JE, Alpert JS. Natural history of pulmonary embolism.
Prog Cardiovasc Dis 1975;17:259-70.
8. Tapson VF, Witty LA. Massive pulmonary thromboembolism:
Diagnostic and therapeutic strategies. Clin Chest Med
1995;16:329-40.
9. Goldhaber SZ. Visani L, De rosa M, for ICOPER: Acute
Pulmonary Embolism: Clinical Outcomes In the International
Coperative Pulmonary Embolism Registry (ICOPER).
Lancet.1999;353:1386-89. 10. Arcasoy SM, Kreit JW:
Thrombolytic therapy of pulmonary embolism: A comprehensive
review of current evidence. chest.1999;115:1695-707.
11. Konstantinides S, Geibel A, Heusel G, et al. Heparin plus
alteplase compared with heparin alone in patients with
submassive pulmonary embolisim. N Engl J Med. 2002;
347:1143-50.
12. Arcasoy SM, Kreit JW: Thrombolytic therapy of pulmonary
embolism: A comprehensive review of current evidence.
chest.1999;115:1695-707.
13. Konstantinides S, Geibel A, Heusel G, et al. Heparin plus
alteplase compared with heparin alone in patients with
submassive pulmonary embolisim. N Engl J Med. 2002; 347:
1143-50.
14. Goldhaber SZ. Integration of catheter thrombectomy into
our armamentarium to treat acute pulmonary embolism.
Chest.1998;114:1237-38.
15. Levine MN. Thrombolytic therapy for venous thromboembolism:
Complications and contraindications. Clin Chest Med
1995;16:321-8.

Thank you for copying data from http://www.arastirmax.com