Pulmoner embolide gözden kaçan semptomlar: Vertigo ve senkop
Öz
Özet
Pulmoner emboli (PE) acil servis’lerde sık karşılaşılan, zor tanı konulan ve mortalitesi oldukça yüksek pulmoner acillerden biridir. Pulmoner emboli vakaları acil servislere çok farklı klinik bulgularla gelebilir. En sık karşılaşılan semptomları ani başlayan dispne, plöretik göğüs ağrısı, öksürük, hemoptizi, taşipne ve taşikardidir. Senkop, pulmoner emboli olgularında nadir görülen ilk başvuru sebebi olmasına rağmen özellikle masif pulmoner emboli vakalarında daha sık gözlenmektedir ve acilen tanı konulup tedavi edilmediği takdirde mortalitesi çok yüksektir. Bu nedenle acil servise senkop ile başvuran hastaların ayırıcı tanısında pulmoner emboli mutlaka akılda bulundurulmalıdır. Bu çalışmada senkop ve vertigo şikayetleri ile acil servise başvuran, ya da hastane içerisinde ani hipotansiyon ve senkop geçiren beş masif pulmoner emboli olgusu sunuldu.
Anahtar sözcükler: Pulmoner emboli, vertigo, senkop
Abstract
Pulmonary embolism (PE) is one of the pulmonary emergent disease which hardly diagnosed, high mortality rates, and frequently seen in emergency department. PE cases are seen many different clinical symptoms. Most common symptoms are sudden started dyspnea, pleuritic chest pain, coughing, hemoptysis, tachypnea, and tachycardia. Syncope is rarely first referring symptom of the PE cases, however, in massif PE cases syncope is more frequently seem and unless urgent diagnosis and treatment, mortality rates is quite high. Therefore, in differential diagnosis of the syncope patients PE must keep in mind. In this study, five massive PE cases were presented who admitted to emergency service with syncope and vertigo symptoms.
Keywords: Pulmonary embolism, vertigo, syncope
Anahtar Kelimeler
References
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Details
Primary Language
Turkish
Subjects
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Journal Section
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Publication Date
February 10, 2014
Submission Date
February 10, 2014
Acceptance Date
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Published in Issue
Year 2014 Volume: 36 Number: 3