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Query: UMLS:C0034065 (pulmonary embolism)
 14,979 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The case of 63 years old judo trainer, actively working and suffering from pulmonary embolism originating from deep vein thrombosis aggravated by sport traumas, is presented. Repeated episodes of pulmonary embolism, despite treatment with oral anticoagulants, have led to alternative method of treatment--vena cava filter insertion. Diagnosis achieving process, concerning the sportive lifestyle, and the effectiveness of pharmacological treatment, are discussed.
Pol Arch Med Wewn 1997 Nov
PMID:[Recurrent pulmonary embolism in an athlete. Vena cava filter implantation as a effective alternative to medical treatment]. 959 62

Extracerebral complications which were observed in great number of ischemic stroke patients increased the risk of death and disability. Pneumonia, myocardial infarction, pulmonary embolisms and urinary tract infections are most often. We considered the influences of extracerebral complications on anterior circulation territory disturbances. A cohort of 1697 patients with first-ever ischemic stroke within anterior circulation region was evaluated. Patients were divided into three groups: A, B, C according to the heaviness of stroke. We understood the heaviness of stroke as a degree of cerebral disfunction occurring within the first 24 hours of the onset and assessed it using Clinical Groups of the Whole Body Activity (CG WBM). CG WBM is an original classification, a three-degree one, prepared by Department of Neurology University School of Medicine Sciences in Bydgoszcz. The rate of complications was statistically significantly lower in group A with the mild course of ischemic stroke than in group B with moderate or in group C with the severe course of ischemic stroke. Pneumonia, myocardial infarction and pulmonary embolism were recognized more often in patients with fatal outcome. The amount of extracerebral complications raised with the severity of the ischemic stroke.
Pol Merkur Lekarski 1998 Mar
PMID:[Evaluation of non-cerebral complications in light of ischemic stroke severity]. 964 59

The paper deals with fatal pulmonary embolism in patients treated at STOCER after spinal injuries, frequently with neurological impairment. A group of 417 patients treated between 1988 and 1989 has been compared with another one of 350 patients treated between 1995 and 1996. Antyembolic prophylactics has been employed in both groups: an Aspirin in the first group and Clexane in the second one. Forty-seven fatalities (11% of all patients) occurred in the first group (2 females, 44 males, mean age 55.1 years); 40% of them caused by pulmonary embolism (5% of all patients). Twenty-nine fatalities (8% of all patients) occurred in the second group (1 female, 28 males, mean age 60.2 years) 17% of them caused by pulmonary embolism (1.4% of all patients). A comparison between these groups indicates high efficacy of clexane antyembolic prophylactics in patients treated due to spinal injury especially if complicated neurologically.
Chir Narzadow Ruchu Ortop Pol 1998
PMID:[Pulmonary embolism as one cause of death after spinal injury--the role of clexane]. 968 95

Results of Gamma nail use in treatment for trochanteric fracture of the femur in 25 patients (15 females, 10 males) aged 45-91 years are presented. There were 12 type I, 9 type II, 3 type III and 1 type IV fracture according to Boyd-Griffin classification. Fracture healed 10-12 weeks after surgery in 24 cases; one patient died because of pulmonary embolism.
Chir Narzadow Ruchu Ortop Pol 1998
PMID:[Remarks on Gamma nail use in the treatment of trochanteric fracture of the femur]. 985 50

Results of total arthroplasty of the hip with acetabular protrusion with the use of Mecring cup in 21 patients (25 hips) aged 25-75 years (mean 62) are reported. Morsalised impacted autografts were used to fill acetabular defect in all cases. There were 14 rheumatoid arthritis patients, 4 cases of osteoarthritis and 3 cases of Otto-Chrobak disease. Mean follow-up was 2.5 years (range 6 months-5 years). All autografts were incorporated after 6-9 months. Only one loosening and migration of the cup occurred. One patient died because of pulmonary embolism. Harris Hip Score increased from 37 points (22-49) preoperatively to 81 points (65-89) at the latest follow-up. Incorporation of autografts reinforced acetabular bottom and prevented recurrence of protrusion. Bone remodeling indicates restoring normal biomechanics of the hip.
Chir Narzadow Ruchu Ortop Pol 1998
PMID:[Mecring threaded cup in total arthroplasty of the hip with acetabular protrusion]. 985 52

The coexistence of chronic obstructive pulmonary disease (COPD) and chronic pulmonary embolism (PE) worsens prognosis and requires complex therapeutic procedures. However, the diagnosis COPD + PE is difficult because of similar clinical symptomatology. Pulmonary angiography was performed in 20 patients aged 60.9 (37-75) years with COPD and with clinical suspicion of chronic pulmonary embolism (PE). Of 13 patients with PE 8 had proximal PE and in 5 patients peripheral PE was found. Both groups of patients did not differ with regard to their age 60.2 +/- 7 vs 59 +/- 10 years (NS), FEV1 0.9 +/- 0.3 vs 1.1 +/- 0.4 l (NS) as well as platelet cells count, fibrinogen, hematocrit and hemoglobin. Patients with COPD + PE compared to patients with COPD had higher pH 7.38 +/- 0.05 vs 7.32 +/- 0.03 (p = 0.01), and tendency to lower PaCO2 44.3 +/- 12 vs 52.0 +/- 7 mmHg(NS), and higher mean pulmonary artery pressure 48 +/- 17 vs 36.3 +/- 9 mmHg(NS). Patients with COPD+ proximal PE compared to COPD patients had higher pH 7.4 +/- 0.05 vs 7.3 +/- 0.03 (p = 0.004) and lower paCO2 39.6 +/- 10 vs 52 +/- 7 mmHg (p = 0.03).
Pneumonol Alergol Pol 1998
PMID:[Diagnosis of chronic pulmonary embolism in patients with advanced chronic obstructive pulmonary disease]. 1035 97

We report the case of a 43-year-old woman with systemic lupus erythematosus who survived three episodes of catastrophic antiphospholipid syndrome. During the first episode symptoms involved predominantly the central nervous system, whilst during the second episode of multiorgan failure, the cardiovascular system, lungs and kidneys were particularly affected. Twenty months later, the patient experienced an acute exacerbation of chronic renal failure and later, died of massive pulmonary embolism. The characteristic findings of antiphospholipid syndrome included persistently high titers of IgG anticardiolipin antibodies, positive lupus anticoagulant, and microcytic anaemia with a distinct haemolytic component.
Pol Arch Med Wewn 1998 Dec
PMID:[Three episodes of acute multiorgan failure in a woman with secondary antiphospholipid syndrome]. 1040 69

The accurate detection of pulmonary embolism is possible by means of non-invasive but very expensive ventilation-perfusion lung scanning or invasive and with high rate of complications pulmonary angiography. Thus monitoring of many clinical and biochemical parameters has been recently attempted to increase the probability of correct diagnosis of pulmonary embolism. The alveolar-arterial oxygen gradient is a more sensitive indicator of disturbance in oxygenation than occurrence of hypoxia in gasometry. The aim of our study was to examined the changes of the alveolar-arterial oxygen gradient in patients with pulmonary embolism. The survey was made in 35 patients aged from 41 to 75 with acute pulmonary embolism, of these 17 were men and 18 were women. We excluded patients with coexisting serious heart or lung disease. Pulmonary embolism was diagnosed on the grounds of presence of commonly known risk factors, sudden onset, findings on the chest radiography, hypoxia resistant to oxygen therapy, electrocardiography, echocardiography and catheterization of pulmonary artery using a Swan-Ganz catheter. The alveolar-arterial oxygen gradient was measured in arterial blood samples obtained 15 minutes after 100% oxygen ventilation, using standard formulae. All patients were administered heparin, oxygen and warfarine therapy. The control group consisted of 20 patients, 11 women and 9 men aged from 37 to 74, with deep venous thrombosis without coexisting heart or lung disease. In our study we showed that the alveolar-arterial oxygen gradient is a very useful parameter helping with diagnosis and monitoring efficacy of treatment in patients with pulmonary embolism without coexisting heart or lung diseases.
Pol Merkur Lekarski 1999 Sep
PMID:[Alveolar-arterial oxygen gradient in patients with clinical symptoms of pulmonary embolism]. 1059 85

Pulmonary embolism during pregnancy is infrequent but serious complication. We report a case of 32-year old women at 31-st gestational week with massive pulmonary embolism. The management of the case and the review of current literature are presented. Our experience demonstrates the importance of interdisciplinary care.
Ginekol Pol 2000 Jul
PMID:[Dramatic course of massive pulmonary embolism in a woman at 31st gestational week. Case report]. 1100 72

The risk of moderate and major hemorrhage was assessed in patients who underwent surgery after trauma of the lower limb. Among 633 patients over 40 years of age, to whom enoxapirin was administered, signs of major bleeding (massive bleeding during surgery, a decrease of Hb concentration by at least 2 g%, a transfusion consisting of 2 or more units of blood, a loss of more than 200 ml of blood from the surgical wound in the first 24 hours post surgery, formation of a haematoma in the surgical wound requiring evacuation) was noted in 10 (1.6%) cases. In 48 (7.6%) cases signs of moderate bleeding were noted (a decrease of Hb concentration of less than 2 g%, either not requiring blood transfusion or a transfusion of no more than 1 unit of blood, a drainage of not more than 200 ml of blood from the surgical wound in the first 24 hours post surgery). The noted hemorrhages didn't lead to any life threatening conditions, nor to any deaths. No cases of pulmonary embolism were noted either. The presented cases seem to indicate that the risk of increased bleeding in trauma patients treated with enoxapirin is incomparably smaller than the risk of life threatening complications like pulmonary thromboses. The obtained results indicate the purposefulness of thrombosis prophylaxis in patients undergoing surgery because of mechanical trauma of the lower limbs.
Chir Narzadow Ruchu Ortop Pol 2000
PMID:[The frequency of peri- and postoperative bleeding after prophylactic treatment with enoxapirin in patients with post-traumatic deep vein thrombosis]. 1114 79


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