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Lungeemboli (LE)

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Lungeemboli (LE), er en okklusjon (blodpropp) av en eller flere pulmonalarterier, oftest embolus fra dyp venetrombose
Forekomst:
Prevalens øker fra 0,1-1,7% fra 50 til 75 års alder
Symptomer:
Symptombildet varierer betydelig fra kun hoste til betydelige akutte brystsmerter og pustevansker og plutselig død
Funn:
Kliniske funn er takypné av ulik grad, hurtig puls, ev. lavt blodtrykk (sjokksymptomer, gråblek og fuktig hud), og nedsatt fingeroksymetri. Kan ha feber og være medtatt og urolig
Diagnostikk:
Klinisk mistanke (brystsmerter, tung pust), Wells skår, vurder D-dimer. Diagnosen bekreftes ved CT-thorax, alternativt VP SPECT
Behandling:
Akuttbehandling med LMW-heparin, ev. under diagnostisk utredning, oftest rask overgang til DOAK eller warfarin ved sikker diagnose
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  • Tore Amundsen, spesialist i indremedisin, lunge- og blodsykdommer, overlege Lungemedisinsk avdeling, St. Olavs hospital og professor ved NTNU
  • Ingard Løge, spesialist allmennmedisin, redaktør NEL