Massive pulmonary embolism in diabetic ketoacidosis and non-ketotic hyperosmolar state: case series and review of the literature
| Autor: | J. M. Shapiro, A Shujaat |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Intravenous heparin Diabetic ketoacidosis business.industry Hyperosmolar state Critical Care and Intensive Care Medicine medicine.disease Pulmonary embolism Ketoacidosis Pulmonary embolization Diabetes mellitus Internal medicine Pulseless electrical activity Cardiology Medicine business Intensive care medicine |
| Zdroj: | Clinical Intensive Care. 15:73-77 |
| ISSN: | 1473-7752 0956-3075 |
| DOI: | 10.3109/09563070410001711771 |
| Popis: | Objective: To describe three acutely decompensated diabetic patients who suffered massive pulmonary embolism within 72 hours of admission.Design: Case series and literature review.Setting: University-affiliated urban hospital center.Patients: Three patients with severe hyperglycemia and ketoacidosis or hyperosmolar state who developed massive pulmonary embolism.Interventions: Intravenous heparin, recombinant tissue plasminogen activator, advanced cardiac life support.Results: Massive pulmonary embolism proved rapidly fatal in the two cases that manifested as pulseless electrical activity cardiac arrest.Conclusions: Critical care clinicians must recognize the potential for massive, life-threatening pulmonary embolization in patients with decompensated diabetes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|