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Korean J Crit Care Med > Volume 19(1); 2004 > Article
Korean Journal of Critical Care Medicine 2004;19(1): 38-41.
증례보고 : 고관절 부분치환술 후 발생한 폐색전증
유세현, 전종헌, 유희구, 김용호
한양대학교 의과대학 마취통증의학교실, *관동대학교 의과대학 마취통증의학교실
Pulmonary Embolism Detected in the General Ward after Operation: A Case Report
Se Hyun Lew, Jong Hun Jun, Hee Koo Yoo, Yong Ho Kim
1Department of Anesthesiology and Pain Medicine, Hanyang University College of Medicne, Seoul, Korea. jhjun@hanyang.ac.kr
2Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicne, Gangneung, Korea.
ABSTRACT
Pulmonary embolism is a common medical complication following major orthopedic procedures of the lower extremities and a leading cause of morbidity and mortality. However, the clinical manifestations of pulmonary embolism are nonspecific and it may be difficult to diagnose. An 82 years old female with severe restrictive pulmonary disease received the elective operation for the fracture of left femur neck under combined spinal-epidural anesthesia. During the operation, we sometimes gave her oxygen via face mask and maintained oxygen saturation of more than 80% which was measured by a pulse oxymeter. The operation and anesthesia was performed uneventfully. On the seventh postoperative day, she showed tachycardia suddenly and cardiac arrest later on the electrocardiogram. After cardiopulmonary resuscitation, she was transferred to intensive care unit and checked by a computed tomography and echocardiography. She was diagnosed with pulmonary embolism and deep vein thrombosis and treated with heparin and urokinase. But she did not improve and died.
Key Words: Deep vein thrombosis; Pulmonary embolism; Tachycardia
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