Pulmonary thromboembolism after air travel: Two case reports, the review of literature and forensic implications

被引：0
作者：
Mihailovic, Zoran [1 ]
Radnic, Bojana [1 ]
Atanasijevic, Tatjana [1 ]
Popovic, Vesna [1 ]
机构：
[1] Univ Belgrade, Sch Med, Inst Forens Med Milovan Milovanov, Belgrade 11000, Serbia
来源：
FORENSIC SCIENCE INTERNATIONAL | 2012年 / 222卷 / 1-3期
关键词：
Pulmonary thromboembolism; Air travel; Autopsy; DEEP-VEIN THROMBOSIS; VENOUS THROMBOEMBOLISM; COAGULATION ACTIVATION; BIOCHEMICAL MARKERS; HYPOBARIC HYPOXIA; RISK-FACTOR; EMBOLISM; EDEMA; ASSOCIATION; PREVENTION;
D O I：
10.1016/j.forsciint.2012.05.016
中图分类号：
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号：
0301 ; 10 ;
摘要：
Air travel as a risk factor for pulmonary thromboembolism (PTE) is rarely described in forensic literature. Two cases of PTE after air travel are presented in this report. Each flight was intercontinental and lasted for more than 10 h, resulting in typical "traveler's thrombosis" within 2 weeks. In both cases, the risk factors were age, duration of flight and also peripheral circulation problems caused by heart (hypertension, arrhythmia), and varicose veins failures. Possible pathophysiological mechanisms of thrombus formation in these cases were blood flow stasis from prolonged recumbence, reduced function of the lower leg muscle pump, dehydration, and hypobaric hypoxia. Legal aspects of death due to PTE after air travel and possible responsibility of air companies are discussed. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：E13 / E18
页数：6
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