혈역학적으로 불안정한 급성 뇌졸중 환자에게 동반된 중증 폐색전증 1례A massive Pulmonary Embolism with Hemodynamically Unstable Stroke Symptoms
- Other Titles
- A massive Pulmonary Embolism with Hemodynamically Unstable Stroke Symptoms
- Authors
- 고찬영; 조영순; 김호중
- Issue Date
- 2012
- Publisher
- 대한응급의학회
- Keywords
- Stroke; Pulmonary Embolism; Echocardiography; Thrombolytic Therapy
- Citation
- 대한응급의학회지, v.23, no.4, pp.551 - 554
- Journal Title
- 대한응급의학회지
- Volume
- 23
- Number
- 4
- Start Page
- 551
- End Page
- 554
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15657
- ISSN
- 1226-4334
- Abstract
- Pulmonary embolisms account for 13~25% of early deaths after stroke. Early diagnosis and appropriate management of thrombolysis are important, however, diagnosis is often difficult, and the consequences for patients can be severe.
Echocardiography is useful for evaluation for massive pulmonary embolism, particularly in hemodynamically unstable patients. We report on a case involving a 67-year-old female patient in severe hemodynamic compromise, with an altered mental status and hemiparesis. Findings on brain computerized tomography (CT) showed acute infarction at the left middle cerebral artery territory and transthoracic echocardiography indicated a massive pulmonary embolism. Despite administration of conservative management,the patient died due to a cerebral complication.
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Collections - College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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