A patient with femoral fracture complicated by pulmonary infarction.
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We report an aged female with a femoral fracture who developed acute pulmonary thromboembolism leading to pulmonary infarction. A 71-year-old woman came to our hospital complaining of right coxalgia that had persisted for one week. The chest x-ray findings showed an infiltrating shadow in the right middle lung field with prominent cardiomegaly. Enhanced chest CT scanning revealed consolidation of the same area and pulmonary artery dilatation, and lung perfusion scintigraphy showed a defect in the right middle lung field. Pulmonary angiography detected obliteration of right middle lobe arteries that seemed to have contributed to the development of pulmonary thromboembolism. These findings suggested pulmonary infarction secondary to pulmonary thromboembolism. Anti-coagulant and fiblinolytic therapy were performed. A recent chest film and perfusion scan 2 weeks later showed disappearance of the defect and scarring of the pulmonary infarct. PE caused by cardiac failure and obesity as the underlying disease for long time and hemoconcentration. The pathogenesis of pulmonary infarction may be caused by pulmonary congestion due to cardiac failure.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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