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題 名 | Unresolved Major Pulmonary Embolism in a Patient with Cardiogenic Shock |
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作 者 | Chen,Perry Chi-ho; Chen,Yen-kung; Carson,Wangden; | 書刊名 | 核子醫學雜誌 |
卷 期 | 10:3 1997.07[民86.07] |
頁 次 | 頁106-108 |
分類號 | 415.319 |
關鍵詞 | 心因性休克; 肺栓塞; Cardiogenic shock; Unresolved major pulmonary embolism; |
語 文 | 英文(English) |
英文摘要 | A 70-year-old woman with a history of congestive heart failure and cardiac pacemaker implantation presented with cough, rhinorrhea, and shortness of breath. Pulmonary embolism was suspected based on the presence of distended jugular veins and x-ray findings. A lung perfusion scan also revealed evidence of a pulmonary embolism, although the location was not consistent with that indicated by the x-ray findings. The patients' condition improved rapidly with heparin and warfarin therapy. However, her jugular veins remained distended, and follow-up lung perfusion scan 14 days later revealed an only partially resolved pulmonary embolism. Her symptoms progressed and she died 36 days after admission. Our findings in this case suggest that assessment of jugular vein distension may be important in the evaluation of an unresolved pulmonary embolism. |
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