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Leverlaesion hos hjertestoppatient behandlet med terapeutisk hypotermi
Engelsk titel: Liver lesion in a cardiac arrest patient treated with therapeutic hypothermia Läs online Författare: Hennes, Olaf ; Andersen, Johnny ; Ostenfeld, Sarah Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 14117546

Tidskrift

Ugeskrift for Laeger 2014;176(20)1887-8 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Cardiac arrest patients receive cardiopulmonary resuscitation. If resuscitated therapeutic hypothermia (TH) improves outcome. The following coagulopathy caused by TH, antithrombotic drugs and acidosis can induce severe haemorrhage from non-acknowledged organ lesions. This story illustrates a liver lesion caused by cardiac compressions. By coincidence the lesion was found on a computed tomography scan. The patient remained circulatory stabil during TH and was discharged in good cerebral state. However, should these patients rutinely be scanned?