COMPARTMENT SYNDROME DUE TO THROMBOLYTIC TREATMENT AFTER PULMONARY EMBOLISM CAUSED BY FIBULA FRACTURE

Yıl 2018, , 8 - 13, 30.07.2018

Muhammet Zeki Gültekin , Oğuz Uğur

https://doi.org/10.30569/adiyamansaglik.441740

Öz

In this study; We aimed
to present a case of pulmonary embolism after left fibular fracture and
initiation of thrombolytic therapy, but the occurrence of cruris anterolateral
compartment syndrome after thrombolytic treatment. Thromboembolic events related to immobilization
are common in lower extremity fractures, and pulmonary embolism is the most
feared complication. In patients with pulmonary emboli, bleeding may
develop after thrombolytic therapy and fasciotomy should be initiated in
patients with extremity fractures without delaying nerve damage due to
compartment syndrome.    

Anahtar Kelimeler

Thrombolytic therapy, compartment syndrome, Peroneal Nerve Paralysis

FİBULA FRAKTÜRÜNE BAĞLI GELİŞEN PULMONER EMBOLİ TEDAVİSİNDE TROMBOLİTİK UYGULAMASINA BAĞLI KOMPARTMAN SENDROMU

Öz

Bu çalışmamızda; sol fibula
fraktürü sebebiyle takip altında iken pulmoner emboli gelişen ve trombolitik
tedavi başlanan fakat trombolitik tedaviye sekonder kruris anterolateral
kompartman sendromu gelişen vakamızı ve tedavisini sunmayı amaçladık. Özellikle
alt ekstremite fraktürlerinde immobilizasyona bağlı tromboembolik olaylar sık
görülmekte olup pulmoner emboli en korkulan komplikasyondur. Pulmoner emboli gelişen hastalarda trombolitik
tedavi sonrası kanama gelişebilir ve özellikle ekstremitede fraktürü olan
hastalarda kompartman sendromuna bağlı sinir hasarlarına karşı vakit
kaybetmeden fasyatomi açılmalıdır.

Anahtar Kelimeler

Trombolitik tedavi, Kompartman sendromu, peroneal sinir hasarı

Kaynakça

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