Hypercapnia complicating massive pulmonary embolism

An elevated PaCO2 is distinctly unusual in pulmonary embolic disease. We report 2 patients with massive pulmonary emboli complicated by hypercapnia in the absence of underlying chronic obstructive lung disease. Profound alterations in ventilation/perfusion matching and reduced cardiac output are pro...

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Veröffentlicht in:	Critical care medicine 1984-08, Vol.12 (8), p.686-688
Hauptverfasser:	GOLDBERG, STEVEN K, LIPSCHUTZ, JAY B, FEIN, ALAN M, LIPPMANN, MICHAEL L
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Cardiac Output Female Humans Hypercapnia - etiology Male Pulmonary Embolism - complications Pulmonary Embolism - diagnostic imaging Pulmonary Embolism - physiopathology Radiography Ventilation-Perfusion Ratio
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Zusammenfassung:	An elevated PaCO2 is distinctly unusual in pulmonary embolic disease. We report 2 patients with massive pulmonary emboli complicated by hypercapnia in the absence of underlying chronic obstructive lung disease. Profound alterations in ventilation/perfusion matching and reduced cardiac output are probable mechanisms of this gas-exchange problem.
ISSN:	0090-3493 1530-0293
DOI:	10.1097/00003246-198408000-00019