Nonthrombotic sources of pulmonary embolism

Fat embolism

thumb|250px|Tuková embolie

• Post up to ½ of severe traumas,
• mostly asymptomatic, right-sided heart failure, ARDS,
• therapy: supportive (mechanical ventilation, corticosteroids, diuretics).

Amniotic fluid embolism

thumb|300px|Embolizace amniové tekutiny

• embolism of amniotic fluid, fragments of trophoblast and decidua during difficult labour,
• material that has embolized is highly thrombogenic + activates coagulation,
• cause of death in 10 % of women in labour,
• there is no specific therapy.

Air embolism

• Caused by massive vein trauma located on the neck / complication of central venous catheter + surgeries in sitting position,
• leads to immediate loss of consciousness,
• therapy: positioning the patient on the left side, head aiming downwards → moving the air bubbles from the right chamber + catheterization / punction elimination of the air bubbles, hyperbaric oxygenotherapy,
• Lethality up to 50 %.

Septic embolism

• Abdominal abscesses, infectious endocarditis in i.v. addicts,
• therapy: ATB, surgical.

Tumor embolism

• Embolism of tumorous tissue / myxoma near the left atrium,
• acute / subacute pulmonary embolism.

Foreign object embolism

• Complication caused by invasive catheterizations, surgeries, ..,
• therapy: removal of the foreign object by catheterization.

Odkazy

Související články

• Plicní embolie
• Embolie
• Cor pulmonale

Použitá literatura

Kategorie:Kardiologie Kategorie:Pneumologie