冠心病病房血栓栓塞(肺栓塞)的处理

Faizan Naeem
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摘要

肺栓塞和深静脉血栓形成被认为是血栓栓塞,它是由血栓从其形成部位碎片化而阻塞血管。当深静脉血栓从静脉壁脱离并阻断部分或全部肺部血液供应时,肺栓塞可能是致命的。临床表现为胸膜性胸痛,呼吸急促,患者心率加快,呼吸短促。它包括高凝,循环停滞和内皮损伤导致血流停滞,可通过CT血管造影诊断。计算机断层扫描或CT血管造影是最常用的,但有时也使用通气灌注肺扫描。推荐的治疗包括抗凝治疗、溶栓和手术。在本病例报告中,患者为42岁男性,患有肺栓塞,胸痛并伴有糖尿病,他接受了溶栓治疗和生活方式的改变,最终稳定了他的胸痛和肺栓塞的情况。
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Management of Thromboembolism (Pulmonary Embolism) in Coronary Cardiac Unit
Pulmonary embolism and deep vein thrombosis is considered thromboembolism which is the occlusion of blood vessels by thrombus that has fragmented away from its site of formation. Pulmonary embolism can be fatal which occurs when the Deep vein thrombosis breaks free from wall of a vein and blocks some or all of the blood supply to the lungs. Clinical presentations are pleuritic chest pain, rapid breathing, increased heart rate of patient and shortness of breath. It involves hypercoagulability, circulatory stasis and endothelial damage causing stagnation of blood flow which can be diagnosed by CT angiography. Computed tomography, or CT angiography is most often used but sometimes ventilation-perfusion lung scan is also used. Recommended treatment involves anticoagulant therapy, thrombolytics and surgery. In this case report, referred patient of 42 years old male is suffering from pulmonary embolism having chest pain along with diabetes and he was treated by thrombolytic therapy as well as by life style modifications which finally stabilizes his chest pain and condition of pulmonary embolism.
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