Artikel Jurnal Perencanaan Angiografi Pada Emboli Paru
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Background: Pulmonary embolism is often undetectable because the symptoms are not specific and cannot be prevented. The PE mortality rate ranges from 100,000 to 200,000 deaths in the United States. Even this number can increase if not handled immediately. History, physical examination and examination of supporting devices such as ECG, thoracic photographs, D dimer, fibrinogen, echocardiography and sophisticated procedures such as CT angiography.
Case: There were 4 cases reported. The first, second and third cases occurred pulmonary embolism after postoperative. We used scoring Wells and Geneva to support the diagnosis of pulmonary embolism. Whereas the fourth case is different, using D-dimer, desaturation and elevation of the right heart are signs of pulmonary embolism.
Discussion: Disability rates of pulmonary embolism can decrease with rapid diagnosis and good treatment. Proper treatment using heparin or heparin or streptokinase and even DSA is sometimes needed to treat massive embolism.
Keywords: pulmonary embolism, history, physical examination, ECG, echo, chest X-ray, D-dimer, fibrinogen and CT angio.