DIKUL - logo
Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Intraabdominal bleeding after cardiopulmonary resuscitation due to pulmonary embolism : a case report = Krvavitev v trebušno votlino po oživljanju zaradi pljučne embolije : prikaz primera
    Željko, Tadej ; Sinkovič, Andreja
    Ventricular fibrillation is (VF) is the most important cause of cardiac arrests, which mainly occurs due to coronary heart disease and rarely due to pulmonary embolism (PE). After successful ... cardiopulmonary resuscitation (CPR), further interventions are directed towards the prevention and diagnosis of the underlying disease to be able to start appropriate causative therapy. In PE, heparin therapy is mandatory to prevent recurences, but it canlead to bleeding complications. This article presents the case of a 68-yearold man afteer prolonged, but succesful CPR due to VF, who was comatose on admission and mechanically ventilated. After acute myocardial infarction was excluded, massive PE was suspected due to right ventricular pressure overload as demonstrated by echocardiography and increased D-dimers. PE was confirmed by thoracic CT using contrast. Heparin treatment was started, and the patient regained consciousness after 48 hours was extubated. The next day, severe anemia developed as a result of intraabdominal bleeding as demonstrated by abdominal ultrasound and puncture. Surgical laparotomy confirmed intraabdominal and retroperitoneal hemorrhage, ruptured spleen and subcapsular hepatic hemorrhage. After surgery, the patient recovered completly. On discharge, he was without neurological sequelae but received anticoagulation treatment. It is therefore concluded that severe bleeding after CPR is possible in particular with concomitant use of antithrombotic therapy, which is necessary after massive PE.
    Vir: Slovenska kardiologija : znanstveno strokovna revija za področje srčno-žilne medicine. - ISSN 1581-8543 (Vol. 5, iss. 1, 2008, str. 68-72)
    Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasle
    Leto - 2008
    Jezik - angleški
    COBISS.SI-ID - 2968127

Vnos na polico