골반환 손상 후 발생한 치명적인 폐색전증: 증례보고

Fatal Pulmonary Thromboembolism after a Pelvic Ring Injury: A Case Report

  • 김준우 (경북대학교 의학전문대학원 정형외과학교실, 권역 외상센터) ;
  • 오창욱 (경북대학교 의학전문대학원 정형외과학교실, 권역 외상센터) ;
  • 김형섭 (경북대학교 의학전문대학원 정형외과학교실, 권역 외상센터) ;
  • 김희준 (경북대학교 의학전문대학원 정형외과학교실, 권역 외상센터)
  • Kim, Joon-Woo (Department of Orthopaedic Surgery, Regional Trauma Center, Kyungpook National University Hospital) ;
  • Oh, Chang-Wug (Department of Orthopaedic Surgery, Regional Trauma Center, Kyungpook National University Hospital) ;
  • Kim, Hyung-Sub (Department of Orthopaedic Surgery, Regional Trauma Center, Kyungpook National University Hospital) ;
  • Kim, Hee-June (Department of Orthopaedic Surgery, Regional Trauma Center, Kyungpook National University Hospital)
  • 투고 : 2014.11.12
  • 심사 : 2014.12.04
  • 발행 : 2014.12.31

초록

Pelvic ring and acetabular fractures are major high-energy trauma injuries and are often associated with other injuries or fractures. In particular, a venous thromboembolism is an important common complication in trauma patients with pelvic or acetabular fractures. We report a case of a fatal pulmonary thromboembolism after a pelvic fracture in a 60-year-old female patient.

키워드

참고문헌

  1. Geerts WH, Bergqvist D, Pineo GF, Heit JA, Samama CM, Lassen MR, et al. Prevention of venous thromboembolism: American College of Chest Physicians evidence-based clinical practice guidelines (8th Edition). Chest 2008; 133: 381S- 453S. https://doi.org/10.1378/chest.08-0656
  2. Hill J, Treasure T, Guideline Development Group. Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital: summary of the NICE guideline. Heart 2010; 96: 879-82. https://doi.org/10.1136/hrt.2010.198275
  3. Greets WH, Code KI, Jay RM, Chen E, Szalai JP. A prospective study of venous thromboembolism after major trauma. N Eng J Med 1994; 331: 1601-6. https://doi.org/10.1056/NEJM199412153312401
  4. O'Malley KF, Ross SE. Pulmonary embolism in major trauma patients. J Trauma 1990; 30: 748-50. https://doi.org/10.1097/00005373-199006000-00018
  5. Webb LX, Rush PT, Fuller SB, Meredith JW. Greenfield filter prophylaxis of pulmonary embolism in patients undergoing surgery for acetabular fracture. J Orthop Trauma 1992; 6: 139-45. https://doi.org/10.1097/00005131-199206000-00002
  6. Buerger PM, Peoples JB, Lemmon GW, McCarthy MC. Risk of pulmonary emboli in patients with pelvic fractures. Am Surg 1993; 59: 505-8.
  7. AJ, Greeno RA, Brooks LR, Matta JM. Prevention of deep vein thrombosis and pulmonary embolism in acetabular and pelvic fracture surgery. Clin Orthop 1994; 305: 133-7.
  8. Knudson MM, Collins JA, Goodman SB, McCrory DW. Thromboembolism following multiple trauma. J Trauma 1992; 32: 1-11. https://doi.org/10.1097/00005373-199201000-00001
  9. Montgomery KD, Geerts WH, Potter HG, Helfet DL. Thromboembolic complications in patients with pelvic trauma. Clin Orthop 1996; 329: 68-87. https://doi.org/10.1097/00003086-199608000-00010
  10. Dennis JW, Menawat S, Von Thron J, Fallon WF Jr, Vinsant GO, Laneve LM, et al. Efficacy of deep venous thrombosis prophylaxis in trauma patients and identification of high risk groups. J Trauma 1993; 35: 132-9. https://doi.org/10.1097/00005373-199307000-00021
  11. Coon WW. Risk factors in pulmonary embolism. Surg Gynecol Obstet 1976; 143: 385-90.
  12. Kudsk KA, Fabian TC, Baum S, Gold RE, Mangiante E, Voeller G. Silent deep vein thrombosis in immobilized multiple trauma patients. Am J Surg 1989; 158: 515-9. https://doi.org/10.1016/0002-9610(89)90182-7
  13. Moser KM, Lemoine JR. Is embolic risk conditioned by location of deep venous thrombosis? Ann Intern Med 1981; 91: 439-44.
  14. Greenfield LJ. Venous thromboembolism in trauma patients. J Am Coll Surg 1995; 180: 725-6.
  15. Becken DM, Philbrick JT, Selby JB. Inferior vena cava filters: Indications, safety, effectiveness. Arch Intern Med 1992; 152: 1985-94. https://doi.org/10.1001/archinte.1992.00400220023005