Diagnosis and treatment of a case of pulmonary embolism with normal D-dimer
10.3969/j.issn.1674-8115.2019.01.021
- Author:
Yi-Qin ZHANG
1
Author Information
1. Department of Neurology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
- Publication Type:Journal Article
- Keywords:
D-dimer;
Diagnosis;
Pulmonary embolism;
Treatment
- From:
Journal of Shanghai Jiaotong University(Medical Science)
2019;39(1):106-108
- CountryChina
- Language:Chinese
-
Abstract:
The patient was a 51-year-old female. She was admitted to the hospital because of "repetitive convulsions for 1 month". No significant neurological positive signs were found in the examination. D-dimer was in the normal range in several times of detection. Brain CT and electroencephalograph showed no obvious abnormality. Sustained hypoxemia occurred on admission, and CT imaging of pulmonary artery perfusion was performed. In the CT images bilateral distal main pulmonary arteries and their main branches showed vessel filling defect, partial lumen stenosis and occlusion, and bilateral small branches of pulmonary arteries showed extensive similar filling defect. Finally the patient was diagnosed with pulmonary embolism, whose condition was stable after anticoagulation therapy with warfarin.
