The Most Common Detected Risk and Etiologic Factors of Pulmonary Thromboembolism

Abstract

Introduction:Pulmonary thromboembolism (PTE) is the most serious manifestation of thromboembolic disease.Objective:To determine the most common risk and etiologic factors of pulmonary tromboembolism in patients treated in Intensive care unit of Clinic for Pulmonary Diseases and TB “Podhrastovi” in three-year- period from 2008. to 2010.Material and methods:We retrospectively analysed patients with PTE treated in Intensive care unit of Clinic for Pulmonary Diseases and TB “Podhrastovi” in three-year period from 2008. to 2010. PTE was diagnosed by high resolute computed tomography, in most of them ventilatory /perfusion scintigraphy (V/P SPECT) was made, with proper laboratory analyses (D-dimmer, platelets , fibrinogen, and if it was needed protein C, S and AT III factor were examined). In all of them echosonography of abdomen and pelvis was done, also the examination by angiologist, and in patients with indications echosonography of the heart and Color Doppler of leg veins was made. We analysed risk and etiologic factors for PTE in each patient.Results:In 222 treated patients with PTE risk factors were found in 124 or 55.86% patients, etiologic factors were found in 31 or 13.96%, and both risk and etiologic factors in one patient were found in 18 or 8.11% patients.Conclusion:PTE is very serious disease that very often has fatal prognosis, and can develop with previously entirely healthy people, and as soon as we become suspicious of its presence we have to made appropriate diagnostic procedures and include appropriate therapy. We can after look for risk and etiologic factors and try to influence them.

Preoperative Prediction of Lung Function in Pneumonectomy by Spirometry and Lung Perfusion Scintigraphy

“…All these methods provide similar quantitative estimates of the value of postoperative lung function (1, 2, 3, 16, 22, 24, 27, 29, 30, 31, 32). …”

“…In this test radionucleotid emission detected in any part of the lung can be expressed as a percentage of the total emission detected by gamma cameras that are placed over each hemi thorax (11). Perfusion, so and ventilation scintigraphy may be used to assess the residual lung function (20, 30, 31) as non-invasive methods to evaluate the contribution of each lung to the total ventilation and perfusion. Ventilation/perfusion studies have shown that the loss of function after pneumonectomy is approximately proportional to the percentage of the contribution of each lung to the total lung function.…”

The Assessment of Thromboembolism Risk in Postbariatric Patient

“…The routine use of low molecular weight heparin, the use of elastic compression intraoperatively and postoperatively, and early mobilization associated with physiotherapy have allowed us to minimize the occurrence of DVT and pulmonary thromboembolism during hospitalization, according to data from international literature. 4 , 5 Obese patients with weight loss need a specific treatment approach and preoperative preparation, which includes paying attention to risk factors 2 , 6 associated with thromboembolism, namely, male sex, age >60 years, smoking, previous history of DVT, and history of chronic inflammatory diseases/thrombophilia or neoplastic disease. 7 , 8 We need to stratify the risk for each patient, and for those patients with more predisposing factors, we need to pay close attention to the duration of prophylaxis and hospitalization, following updated international guidelines.…”

The Explanatory Factors of Forced Vital Capacity of Primary Lung Cancer Patients Who Underwent Lung Resections

“…• Small cell lung cancer (surgery is appropriate treatment for stage I small cell lung cancer) [5,6].…”