Actualização em doença pulmonar tromboembólica

 

Márcia Man 1

António Bugalho 2

 

 

Resumo

A doença pulmonar tromboembólica, parte integrante do tromboembolismo venoso, constitui um importante problema de saúde, dado que acarreta um risco significativo de mortalidade e morbilidade, com elevado custo social e económico. O diagnóstico e terapêutica atempados, bem como uma profilaxia apropriada, são factores determinantes no prognóstico. Esta entidade clínica continua a suscitar particular atenção, nomeadamente no que respeita à investigação dos factores de risco, desenvolvimento de algoritmos de probabilidade clínica, avaliação dos exames complementares de diagnóstico, definição de novas abordagens terapêuticas e recomendações para tromboprofilaxia. No presente trabalho procura -se rever o conhecimento científico actual relativo ao tromboembolismo pulmonar, focando as vertentes anteriormente mencionadas.

Palavras-chave: Tromboembolismo pulmonar, tromboembolismo venoso, diagnóstico, tratamento, profilaxia, anticoagulação.

 

 

Update in pulmonary thromboembolic disease 

Abstract

Pulmonary embolism is part of venous thromboembolism, an important health problem which leads to significant mortality and morbidity with high economic and social burden. A prompt diagnosis and treatment as well as an appropriate prophylaxis are determinant factors in prognosis. This disease continues to demand particular attention namely in the investigation of risk factors, clinical probability algorithms development, diagnostic work -up evaluation, characterization of new therapeutic strategies and thromboprophylaxis recommendations. The present review looks into the current scientific knowledge regarding pulmonary embolism.

Key -words: Pulmonary embolism, venous thromboembolism, diagnosis, treatment, prophylaxis, anticoagulation.

 

 

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1 Interna do Internato Complementar de Pneumologia

2 Assistente Hospitalar de Pneumologia

Departamento de Pneumologia, Centro Hospitalar Lisboa Norte, Hospital de Pulido Valente, Portugal

 

Recebido para publicação/received for publication: 08.11.03

Aceite para publicação/accepted for publication: 08.12.19