Summary
Samenvatting Cardiorespiratoire Pathologie - Longembolen
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- Institution
onderdeel van het vak cardiorespiratoire kine samenvatting van het hoofdstuk : longembolen
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By: sennegabriels13 • 3 year ago
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6. Longembolen...............................................................................................................................................................11. Definitie en voorkomen...........................................................................................................................................1
2. Risicofactoren longembolen....................................................................................................................................2
3. Kliniek Longembool.................................................................................................................................................2
4. Echocardiography....................................................................................................................................................2
5. Diagnostische onderzoekingen................................................................................................................................3
A. Thorax radiografie...............................................................................................................................................3
6. Diagnose..................................................................................................................................................................3
7. Diagnostische Onderzoekingen...............................................................................................................................3
8. Diagnose acuut longembool....................................................................................................................................3
9. Behandeling.............................................................................................................................................................3
A. Trombectomie.....................................................................................................................................................4
10. Preventie van Longembolen..................................................................................................................................4
11. Chronische Longembolen......................................................................................................................................4
A. Rechterhartcatheterisatie...................................................................................................................................4
12. Chronische longembolen: behandeling.................................................................................................................4
A. Vena Cava Filter...................................................................................................................................................5
B. Medicamenteuze aanpak....................................................................................................................................5
13. Pulmonary Thromboendarterectomy (PTE) Surgery..............................................................................................5
6. Longembolen
1. Definitie en voorkomen
Herkomst thrombi:
o 80 % diepe venen van de benen
o 10 % bekkenvenen
o 10 % rechter hart.
, Arteria pulmonalis blokkeren dood
2. Risicofactoren longembolen
= Risicofactoren voor diep veneuze trombose
Vb post orthopedische chirurgie
3. Kliniek Longembool
Meestal plots opgekomen dyspnoe
Thoracale pijn
Soms bloed ophoesten
Bij risicopatient: vb post operatie, DVT
Maar: soms ook “silentieus”
o DVT = diepe veneuze trombose
o Gaan willen compenseren met sneller te ademen
CO2 daalt
4. Echocardiography
Tekens van hemodynamisch belangrijk embool
o Rechter ventrikel uitgezet ? Ja dan sterk
argument
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