Polistemia Rubra Vera’lı Bir Olguda Masif Pulmoner Emboli.
Polycythemia rubra vera is the most common type in chronic myeloproliferative disorders. Both thrombosis and bleeding risks are higher in patients, reasons such as platelet dysfunction and hyperviscosity. Five months ago, a 68-years-old female patient diagnosed with polycythemia rubra vera in our ho...
| Publicado en: | Turkiye Klinikleri Archives of Lung Vol. 14; no. 1; pp. 31 - 35 |
|---|---|
| Autores principales: | , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Turkiye Klinikleri
2013
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=90763246&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 90763246 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13090119 BE7H jtl: Turkiye Klinikleri Archives of Lung issn: 13090119 maglogo: N pubinfo: dt: 2013 vid: 14 iid: 1 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 90763246 90763246 104145491 90763246 ppf: 31 ppct: 4 formats: fmt: @attributes: type: P tig: atl: Polistemia Rubra Vera’lı Bir Olguda Masif Pulmoner Emboli. aug: au: BERK, Serdar KORKMAZ, Serdal GÜRBÜZ, Tekmile Aysu AKKURT, İbrahim ŞENCAN, Mehmet affil: Göğüs Hastalıkları AD, Cumhuriyet Üniversitesi Tıp Fakültesi, Sivas sug: subj: Pulmonary Embolism Diagnosis Polycythemia Diagnosis Lung Diseases Physiopathology Myeloproliferative Disorders Diagnosis Hemorrhage Risk Factors Female Middle Age Polycythemia Symptoms Chest Pain Diagnosis Heparin, Low-Molecular-Weight Administration and Dosage Thrombosis Therapy Middle Aged: 45-64 years Female ab: Polycythemia rubra vera is the most common type in chronic myeloproliferative disorders. Both thrombosis and bleeding risks are higher in patients, reasons such as platelet dysfunction and hyperviscosity. Five months ago, a 68-years-old female patient diagnosed with polycythemia rubra vera in our hospital referred to emergency service with complaints of sudden onset of shortness of breath, chest pain and right leg swelling. The patient whom underwent hip operation 3 weeks ago had diagnosed with acute massive pulmonary embolism and deep vein thrombosis as a result of investigations. The patient whom thrombolytic therapy could not be applied because of bleeding risk was ameliorated clinically with the low molecular weight heparin therapy. The therapeutic approach is still not clear in such cases and therefore discussion has been approved with a limited number of literature support. Polistemia Rubra Vera, kronik miyeloproliferatif hastalıklar içinde en sık görülenidir. Hastalarda trombosit fonksiyon bozukluğu ve hiperviskozite gibi nedenlerden dolayı hem tromboz hem de kanama riski yüksektir. Beş ay önce hastanemizde Polistemia Rubra Vera tanısı almış 68 yaşında kadın hasta ani başlayan nefes darlığı, göğüs ağrısı ve sağ bacakta şişme yakınması ile acil ser vise başvurdu. Üç hafta önce de kalça ameliyatı geçiren hastaya yapılan tetkikleri sonucunda akut masif pulmoner emboli ve derin ven trombozu tanısı konuldu. Kanama riski nedeniyle trombolitik tedavi uygulanamayan hasta, düşük molekül ağırlıklı heparin tedavisi ile 24 saat sonra klinik olarak düzeldi. Bu olgu, sınırlı sayıda literatür verisi olması ve tedavi yaklaşımındaki belirsizlikler nedeniyle sunulmuştur. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: Turkish refInfo: holdings: @attributes: islocal: N |
|---|