Merve KADİROĞLU, Adil ÇETİN, İsmail ARSLAN, Gül GÜRSOY, Oğuz TEKİN

Oral Kontraseptif Kullanan Sağlıklı Kadında Pulmoner Tromboemboli: Vaka Sunumu

ÖzetPulmoner emboli, pulmoner arteryel yatağın tam veya kısmi tıkanması sonucu meydana gelen ve hayatı tehdit edebilen ciddi bir kardiyopulmoner hastalıktır. Akciğere ulaşan trombüsler en sık derin femoral venlerde oluşan ve sonrasında koparak venöz sisteme dahil olan trombüslerdir. Oral kontraseptif kullanımı pulmoner tromboemboli riskini artırır. Eğer hastada kalıtsal protrombik faktör var ise pulmoner emboli riski daha da fazladır. Oral kontraseptif ilaçlarla kardiyovasküler sistem ve hematolojik sistem arasında etkileşim olduğunu bilmekteyiz. Bu olgumuzda daha öncesinde sağlıklı olan ve yaklaşık bir yıldır oral kontraseptif kullanan 37 yaşında nefes darlığıyla başvuran hastayı sunduk.

Anahtar Kelimeler:

Pulmoner tromboemboli, oral kontraseptif, kardiyopulmoner hastalık

Pulmonary Thromboembolism in Healthy Woman Taking Oral Contraceptives: Case Report

Pulmonary thromboembolism is as a result of complete or partial obstruction of the pulmonary arteries and is a serious cardiopulmonary disease which can be fatal. Pulmonary thrombi most frequently occur in deep femoral veins. Taking oral contraceptives increases the risk of pulmonary thromboembolism. If a patient has a hereditary prothrombic factor, the risk of pulmonary embolism is much more higher. We know that there is an interaction among oral contraceptive drugs, hematological system and cardiovascular system. We here present a 37-year old healthy woman who has been taking oral contraceptives for nearly a year and who came with shortness of breath.

Keywords:

Pulmonary thromboembolism, oral contraceptive, cardiopulmonary disease,

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Yazışma Adresi / Correspondence Dr. İsmail Arslan Ankara Eğitim ve Araştırma Hastanesi Aile Hekimliği Kliniği e-posta: ismailarslan@doctor.com Geliş Tarihi:18.03.2014 Kabul Tarihi:13.07.2014 23 Ankara Medical Journal, Cilt 14, Ek Sayı 1, 2014