FİBULA FRAKTÜRÜNE BAĞLI GELİŞEN PULMONER EMBOLİ TEDAVİSİNDE TROMBOLİTİK UYGULAMASINA BAĞLI KOMPARTMAN SENDROMU

Bu çalışmamızda; sol fibula fraktürü sebebiyle takip altında iken pulmoner emboli gelişen ve trombolitik tedavi başlanan fakat trombolitik tedaviye sekonder kruris anterolateral kompartman sendromu gelişen vakamızı ve tedavisini sunmayı amaçladık. Özellikle alt ekstremite fraktürlerinde immobilizasyona bağlı tromboembolik olaylar sık görülmekte olup pulmoner emboli en korkulan komplikasyondur. Pulmoner emboli gelişen hastalarda trombolitik tedavi sonrası kanama gelişebilir ve özellikle ekstremitede fraktürü olan hastalarda kompartman sendromuna bağlı sinir hasarlarına karşı vakit kaybetmeden fasyatomi açılmalıdır.

Anahtar Kelimeler:

Trombolitik tedavi, Kompartman sendromu, peroneal sinir hasarı

COMPARTMENT SYNDROME DUE TO THROMBOLYTIC TREATMENT AFTER PULMONARY EMBOLISM CAUSED BY FIBULA FRACTURE

In this study; We aimed to present a case of pulmonary embolism after left fibular fracture and initiation of thrombolytic therapy, but the occurrence of cruris anterolateral compartment syndrome after thrombolytic treatment. Thromboembolic events related to immobilization are common in lower extremity fractures, and pulmonary embolism is the most feared complication. In patients with pulmonary emboli, bleeding may develop after thrombolytic therapy and fasciotomy should be initiated in patients with extremity fractures without delaying nerve damage due to compartment syndrome.

Keywords:

Thrombolytic therapy, compartment syndrome, Peroneal Nerve Paralysis,

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