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Rehabilitation Practice and Science

Translated Title

急性脊髓損傷併發肺栓塞：病例報告

Abstract

Pulmonary embolism (PE) is a life-threatening disease with variable manifestations and thus early diagnosis is difficult among the spinal cord injury (SCI) patients. There are still no clinical reports or statistical data about the PE in SCI patients in Taiwan. However, the incidence of PE in SCI patients was higher than that in general population according to the reports in western countries, and early prevention, diagnosis and treatment were documented to reduce the morbidity and mortality. So the doctor should keep alert to the possible PE in the SCI patients especially when there are new-onset symptoms or signs. Here we present a 17-year-old female, suffering from acute SCI with paraplegia in a traffic accident, who developed sudden onset of dizziness, diaphoresis, chest compression sensation, shock and then loss of consciousness during passive range of motion exercise one month after the injury. Her condition got spontaneous recovery twenty minutes later after first-aid treatment with intravenous fluid supply and Dopamine infusion, and soon became stable. Pulmonary angiogra-phy confirmed the diagnosis of PE at lower branch of left pulmonary artery and the branch to lower segment of lingual lobe five days later. The patient received oral antiplatelet agent (Ticlopidine) only since venography of both lower limbs did not show any thrombus in them. She continues receiving rehabilitation program and there has been no recurrence of PE thereafter.

Language

Traditional Chinese

First Page

129

Last Page

133

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