ID 110366
タイトルヨミ
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
タイトル別表記
Pulmonary embolism in a taxi driver with deficiency of activated protein C due to changing the car from manual transmission to automatic transmission
著者
松本, 和久 徳島大学病院卒後臨床研修センター
仁木, 敏之 徳島大学病院循環器内科
小笠原, 梢 徳島大学病院循環器内科
坂東, 左知子 徳島大学病院循環器内科
發知, 淳子 徳島大学病院循環器内科
上田, 由佳 徳島大学病院循環器内科
竹谷, 善雄 徳島大学病院循環器内科 KAKEN研究者をさがす
岩瀬, 俊 徳島大学病院循環器内科 KAKEN研究者をさがす
冨田, 紀子 徳島大学病院循環器内科
澤, 靖彦 沢内科胃腸科
キーワード
deep venous thrombosis
taxi-driver
automatic transmission
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
68
5-6
開始ページ
257
終了ページ
262
並び順
257
発行日
2012-12-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院
医学系