= partial or complete transfer of the pulmonary arteries is flooded blood clots in the peripheral venous circulation.
symptoms
- massive dyspnea
- Thraxschmerz
- dizziness, RR , pulse, shock
- agony
- if hemoptysis
diagnosis
- clinical examination / vital signs
- chest x-ray
- (ECG signs of right heart failure can be detected)
- Laboratory: BGA (blood gas analysis)
- echocardiography
- possibly Angio-CT, MRI
- pulmonary angiography
- perfusion / Ventilationsszintigraphie
therapy
Conservative:- bed rest (except for 1)
- Waist High Store
- anticoagulation in 1 & 2
- intensive monitoring, O 2 gift
- if catecholamines
Pulmonalisthrombektomie possibly at 3 and 4
4 risk groups:
[1] Hämodyn. stable without right ventricular dysfunction
[2] Hämodyn. stable with right ventricular dysfunction
[3] shock (RR syst \u0026lt;100 mmHg, pulse> 100 / min)
[4] Resuscitation duty