Massive pulmonary embolism presenting as disseminated intravascular coagulation. Hart, W T Hallenborg, C P 2019-07-02T16:14:13Z 2019-07-02T16:14:13Z 1992-05
dc.description.abstract Disseminated intravascular coagulation (DIC) can be defined as evidence of activation of the coagulation mechanism resulting in proteolysis of fibrinogen by thrombin and plasmin and an acute thrombocytopenia. The association of pulmonary embolism (PE) with DIC has recently been reported but in reviewing recent textbooks of hematology, there is no mention of PE as a cause of DIC. Clinicians need to be made aware of this association since it affects the patient who is thought to be autoanticoagulated as well as the patient who has DIC of unknown cause. PE needs to be included in the differential diagnosis of an autoanticoagulated state and in DIC of unknown etiology. In both instances the recommended treatment is full-dose intravenous heparin therapy.
dc.identifier.issn 0017-8594
dc.identifier.pubmed 1601644
dc.language.iso eng
dc.subject.mesh Aged
dc.subject.mesh Aged, 80 and over
dc.subject.mesh Blood Coagulation Tests
dc.subject.mesh Coronary Artery Bypass
dc.subject.mesh Disseminated Intravascular Coagulation/blood
dc.subject.mesh Female
dc.subject.mesh Humans
dc.subject.mesh Male
dc.subject.mesh Middle Aged
dc.subject.mesh Pneumonia/complications
dc.subject.mesh Postoperative Complications/blood
dc.subject.mesh Pseudomonas Infections/complications
dc.subject.mesh Pulmonary Embolism/blood
dc.title Massive pulmonary embolism presenting as disseminated intravascular coagulation.
dc.type Case Reports
dc.type Journal Article
dc.type.dcmi Text
prism.number 5
prism.pagerange 121, 125, 134
prism.publicationname Hawaii medical journal
prism.volume 51
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