A complicated case of pulmonary embolism in a patient with renal failure

被引:0
作者
Pomero, Fulvio [1 ]
Brignone, Chiara [2 ]
Golle, Giovanni [1 ]
Silvestri, Alberto [1 ]
Migliore, Elena [2 ]
Bracco, Christian [2 ]
Serraino, Cristina [2 ]
Castagna, Elisabetta [2 ]
Severini, Sara [2 ]
Fenoglio, Luigi M. [1 ]
机构
[1] Osped S Croce & Carle, Dipartimento Med Interna, Via Coppino 14, Cuneo, Italy
[2] Univ Torino, Scuola Specializzaz Med Interna 1, Turin, Italy
关键词
pulmonary embolism; renal failure; heparin-induced thrombocytopenia; fibrinolysis; caval filter;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a case of pulmonary embolism with instable hemodynamics in a patient with renal failure; the case is complicated by heparin-induced thrombocytopenia (HIT). Renal failure has a high prevalence in hospitalized patients and is a restriction on administration of low molecular weight heparins (LMWH) and fondaparinux. HIT is a potentially life-threatening complication, therefore a precocious diagnosis is essential. Therapy consists in the immediate stop of heparin's administration and in the administration of non-heparin antithrombotic drugs.
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收藏
页码:47 / 54
页数:8
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