Uma embolia pulmonar fatal ocorreu 10 dias após o inchaço da perna de uma mulher

In early June, Ms. Wang (pseudonym), who is 50 years old this year, accidentally injured her left lower limb. Although it was painful and her mobility was slightly restricted, she was still able to carry out daily activities. After resting at home for more than 10 days, she felt that the swelling in her left leg had worsened - this should have been a warning sign that could não seja ignorado! Mas não recebeu muita atenção . no dia seguinte, MS . Wang de repente experimentou dor no peito intensa, seguida pela perda de consciência, lábios azulados e membros rígidos! A vida está em jogo .

Ms. Wang was urgently sent to the Emergency Department of Tonglu Hospital, Hangzhou First People's Hospital by 120. The emergency team quickly joined the battle: tracheal intubation, mechanical ventilation, continuous chest compressions, use of rescue drugs... After about 9 minutes, Ms. Wang regained her spontaneous heartbeat!

O diagnóstico rápido e preciso é a chave para salvar vidas! A equipe de emergência melhora urgentemente o exame para ms . wang: 'Silent Killer' emerge: embolia pulmonar aguda!

Artéria pulmonar CTA: mostra claramente que as artérias pulmonares principais e ramo são bloqueadas por uma grande quantidade de trombo - diagnosticada com embolia pulmonar aguda de grande área de grande área (PE) .} ultrassom cardíaco: o aumento do coração direto, a regurgitação do coração! Ultrassom venoso dos membros inferiores: direcionando diretamente a fonte da trombose da veia poplítea do membro inferior esquerdo (trombose venosa profunda, TVP)!

Diante da embolia pulmonar que poderia levar outra vida a qualquer momento, o tempo é a vida! A equipe de emergência bombeou decisivamente medicamentos trombolíticos no paciente .

After successfully stabilizing vital signs in the emergency room, Ms. Wang was quickly transferred to the intensive care unit (ICU). After careful brain protection strategies, continuous renal replacement therapy, hemodynamic monitoring and other precise volume management by the intensive care medical team, targeted infusion of coagulation factors, respiratory support, standardized anticoagulation and other treatments, MS . Wang agora recuperou a consciência e se recuperou bem, e foi transferido para uma ala geral .

Ms . A experiência de Wang descreve vividamente uma jornada mortal de coágulos sanguíneos .

Starting point (deep vein thrombosis): left lower limb trauma>restricted mobility>slow and stagnant blood flow>deep vein thrombosis (DVT) formation. Increased swelling in the legs is a key signal for the formation or enlargement of blood clots! Detachment and migration: thrombus detachment>flowing through the heart with blood>reaching the pulmonary artery. Endpoint (pulmonary embolism outbreak): Thrombotic obstruction of the main and branch of the pulmonary artery>Acute pulmonary embolism>Dispnéia, dor no peito, síncope, parada cardíaca!

Experts from Tonglu Hospital, a hospital in Hangzhou, remind that limited mobility after trauma is one of the high-risk factors. Even if patients can still "walk" or "engage in daily activities", as long as the limb's mobility is significantly reduced or restricted due to trauma (fractures, sprains, soft tissue injuries, etc.), and blood flow velocity Revara -se, é extremamente fácil formar coágulos sanguíneos! Inchaço, dor, temperatura da pele elevada e alterações na cor da pele (vermelhidão ou roxo azulado) nos membros inferiores (especialmente de um lado), especialmente aqueles que pioram ou reaparecem com base no trauma existente, devem estar altamente vigilantes .