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Embolie pulmonaire grave suite a une fracture negligee : Prise en charge dans un pays a ressources limitees
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Health Sciences
Abstract:
Les lésions orthopédiques sont réputées thrombogènes et constituent l’une des indications majeures de la prophylaxie thrombo-embolique. De ce fait, la survenue des embolies pulmonaires (EP) en milieu orthopédique n’est pas rare. Nous rapportons un cas d’EP grave consécutive à un traumatisme fermé du fémur négligé dans un milieu à ressources financières limitées. L’angioscanner pulmonaire a permis de poser le diagnostic. En l’absence de thrombolytique, l’intubation orotrachéale, la ventilation mécanique et la dobutamine ont constitué les mesures thérapeutiques réalisées en urgence, compte tenu de la détresse respiratoire et circulatoire. L’évolution clinique sous héparinothérapie relayée avec du Rivaroxaban était favorable.
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