PULMONARY THROMBOEMBOLISM IN A CHILD AFTER BURN INJURY
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Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Pulmonary embolism is rarely diagnosed in pediatric burnpatients and is often only discovered at autopsy. Herein we wouldlike to present the case of a pediatric patient with pulmonarythromboembolism who was burnt by hot water at home. A 4-yearoldgirl who was treated at an external center for 9 days due tosecond degree burn injuries in both legs. After the discharge shehad suddenly become restless and than gone unconscious. Sincepulmonary thromboembolism was suspected as the cause ofcardiopulmonary arrest, a pulmonary computed tomographyangiogram was taken, which showed a thrombus in the lobar andsegmental branches of the right pulmonary artery supplying theright lower lobe. Enoxaparin sodium treatment (2×1mg/kg) wasinitiated. At day 16, a control computed tomography angiogramshowed that the thrombus in the lobar and segmental branches ofthe pulmonary artery had disappeared. This case report illustratesthe importance of chemoprophylaxis against pulmonaryembolism in both pediatric and adult burn patients. In such cases,especially the severe ones, a sudden deterioration of patient’sclinical status in the form of respiratory distress or failure shouldraise suspicion about the possibility of pulmonary embolism.
Açıklama
Anahtar Kelimeler
Periferik Damar Hastalıkları, Genel ve Dahili Tıp, Patoloji, Acil Tıp, Kalp ve Kalp Damar Sistemi
Kaynak
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
3