ID | 110366 |
Title Transcription | プロテインC カッセイ テイカ オ ハイケイ トシ オートマチックシャ エノ ヘンコウ オ ケイキ ニ ハイケッセン ソクセンショウ オ ハッショウ シタ タクシー ウンテンシュ ノ イチレイ
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Title Alternative | Pulmonary embolism in a taxi driver with deficiency of activated protein C due to changing the car from manual transmission to automatic transmission
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Author |
Matsumoto, Kazuhisa
The Post-graduate Education Center, Tokushima University Hospital
Niki, Toshiyuki
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Ogasawara, Kozue
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Bando, Mika
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
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Bando, Sachiko
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Ise, Takayuki
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Tokushima University Educator and Researcher Directory
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Hocchi, Junko
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Ueda, Yuka
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Yamaguchi, Koji
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Tokushima University Educator and Researcher Directory
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Taketani, Yoshio
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
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Iwase, Takashi
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
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Tomita, Noriko
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Yamada, Hirotsugu
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
Tokushima University Educator and Researcher Directory
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Soegi, Takeshi
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
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Wakatsuki, Tetsuzo
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
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Sata, Masataka
Department of Cardiovascular Medicine, Institute of Health Biosciences, the University of Tokushima Graduated school
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Sawa, Yasuhiko
Sawa Clinic
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Keywords | deep venous thrombosis
taxi-driver
automatic transmission
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Content Type |
Journal Article
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Description | A 62-year-old man, who was a taxi-driver, presented to our hospital for further examination and treatment of deep venous thrombosis(DVT)suspected in another clinic. Before 3 months of consultation, he had changed his taxi from manual transmission car to automatic transmission car. Around the same time, he had complained progressively worsening left pedal edema and pain. When he consulted our hospital, blood examination showed elevated D-dimer and deficiency of protein C. A venous ultrasound showed an occlusive DVT in left lower extremity through an external iliac vein. A contrast-enhanced computed tomography showed bilateral pulmonary embolism(PE) and extensive thrombus in the left lower extremity. Following hospitalization, an inferior vena cava (IVC)filter was placed in an infrarenal IVC position, and anticoagulant therapy was initiated with heparin and warfarin. His DVT and PE were managed successfully with anticoagulant therapy, and pedal edema was improved. Besides some risk factors of thrombogenicity such as age and deficiency of protein C, sitting position for long hours and decreased motion of left leg might have triggered off the thrombus formation in the left lower extremity. This report demonstrates the importance of careful follow-ups to long-distance drivers with risk factors of thrombus formation, especially about clutch operation.
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Journal Title |
四国医学雑誌
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ISSN | 00373699
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NCID | AN00102041
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Publisher | 徳島医学会
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Volume | 68
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Issue | 5-6
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Start Page | 257
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End Page | 262
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Sort Key | 257
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Published Date | 2012-12-25
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FullText File | |
language |
jpn
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TextVersion |
Publisher
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departments |
University Hospital
Medical Sciences
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