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Idiopathic acute massive pulmonary embolism in childhood.    
Yazarlar
Doç. Dr. Hacı Mehmet ÇALIŞKAN Doç. Dr. Hacı Mehmet ÇALIŞKAN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Sinan Cemgil Özbek
Kırşehir Ahi Evran Üniversitesi, Türkiye
Burak Çelik
Doç. Dr. Erdoğan SÖKMEN Doç. Dr. Erdoğan SÖKMEN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Duygu Zorlu Karayiğit
Kırşehir Ahi Evran Üniversitesi, Türkiye
Ömer Savaş
Bolu Abant İzzet Baysal Üniversitesi, Türkiye
Özet
Acute pulmonary embolism (PE) is an uncommon clinical condition in childhood. We hereby present a case report of a 10-year-old child who presented to the emergency department with an acute massive PE. He was transferred by ambulance to our emergency department for dyspnea and perioral cyanosis. His parents denied any previous history of illness or familial disease. Arterial blood gas analysis, electrocardiography, and clinical symptoms and signs collectively raised a suspicion of a probable PE. A contrast-enhanced pulmonary computed tomography scan revealed a massive thrombus in the distal part of the right pulmonary artery with no contrast passage into upper, middle, and lower lobar arteries. Upon ascertaining, the diagnosis of PE, intravenous saline infusion, 3 L/min oxygen through nasal route, and subcutaneous enoxaparin 0.4 cc was administered promptly. As our hospital lacked a pediatric intensive care unit and a further need for administration of pharmacological thrombolysis was anticipated, we transferred the patient to a tertiary care center. PE should always be kept in mind as a differential diagnosis in emergency departments even in pediatric patients.
Anahtar Kelimeler
Childhood | idiopathic | pulmonary embolism
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCI, SSCI, AHCI, SCI-Exp dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı NIGERIAN JOURNAL OF CLINICAL PRACTICE
Dergi ISSN 1119-3077
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 05-2019
Cilt No 22
Sayı 5
Sayfalar 734 / 738
Doi Numarası 10.4103/njcp.njcp_263_18
Makale Linki https://pubmed.ncbi.nlm.nih.gov/31089032/
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Idiopathic acute massive pulmonary embolism in childhood.

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