作者: D.L. Rucknagel , D.L. Rucknagel , K.A. Kalkinyak , M.J. Gelfand
DOI: 10.1016/0140-6736(91)92525-7
关键词: Medicine 、 Chest pain 、 Surgery 、 Bone Infarction 、 Bone pain 、 Infarction 、 Acute chest syndrome 、 Radiology 、 Pulmonary Infarction 、 Hypoventilation 、 Thorax 、 General Medicine
摘要: In the absence of evidence for pneumonia or pulmonary embolus, primary infarction has been assumed to be cause syndrome chest pain, fever, and infiltrate on X-ray that commonly complicates sickle cell anaemia. To find out whether might due rib infarction, 99mTc-diphosphonate bone scans were done. eleven episodes thus investigated (10 patients) showed segmental areas increased radionuclide uptake in ribs, indicative infarction. A possible sequence events is infarcts are followed by soft tissue reaction, pleuritis, splinting. The resultant hypoventilation leads atelectasis subsequent development radiographic changes acute syndrome. Prevention treatment pain important therapeutic goals.