Cerebral hemorrhage complicated with acute pulmonary embolism: a case report and literature review
10.3760/cma.j.cn431274-20200709-00946
- VernacularTitle:脑出血并发急性肺栓塞一例并文献复习
- Author:
Man ZHANG
1
;
Jiaxin SHI
;
Jiashu LI
Author Information
1. 江苏省连云港市第一人民医院呼吸与危重症医学科 222000
- Keywords:
Cerebral hemorrhage;
Acute pulmonary embolism;
Deep vein thrombosis
- From:
Journal of Chinese Physician
2021;23(10):1487-1491
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the risk factors, treatment process and prevention strategy of the cases of acute pulmonary embolism after cerebral hemorrhage, so as to improve the attention and level of the disease.Methods:The data of a patient with cerebral hemorrhage and acute pulmonary embolism treated in Lianyungang First People's Hospital were analyzed retrospectively, and the literature related to intracerebral hemorrhage complicated with acute pulmonary embolism was reviewed.Results:One week after intracerebral hemorrhage, the patient was diagnosed with acute pulmonary embolism and given anticoagulant treatment with low molecular weight heparin. The condition was alleviated without aggravating intracerebral hemorrhage. Lying in bed after intracerebral hemorrhage, limb braking, use of dehydration, diuresis, hemostasis and other drugs were the high-risk factors of pulmonary embolism.Venous thromboembolism can be prevented clinically by physical methods and drugs.Conclusions:Venous thromboembolism is easy to occur after intracerebral hemorrhage. Clinically, the incidence can be reduced by pneumatic therapy or anticoagulant drugs. In treatment, it is necessary to weigh the risk of death of pulmonary embolism and rebleeding. After comprehensive evaluation, we can formulate an individualized treatment plan. It may be safe and effective to use low molecular weight heparin to treat pulmonary embolism after the intracerebral hemorrhage hematoma is stable.
