title: [Multiorgan failure in pulmonary embolism].
abstract: The case-history presents a case of unexpected pulmonary embolization manifestated in a middle-aged patient closely before operation (classical cholecystectomy). The severe respiratory insufficiency was the consequence, which proceeded to a metabolic dysbalance and the state of disseminated intravascular coagulation. The prognosis was very serious, but the patient recovered after 4 weeks of complete resuscitative care. The authors would like to initiate the discussion about the way and timing of antithrombic preoperative preparation in elderly patients and in those with a high risk of thromboembolic complications.
authors.affiliation: Oddĕlení akutní medicíny Horské nemocnice Krkonose ve Vrchlabí. aro.jilemnice.primar@worldonline.cz
authors.forename: V
authors.initials: V
authors.lastname: Novohradský
authors.forename: M
authors.initials: M
authors.lastname: Kozák
authors.forename: M
authors.initials: M
authors.lastname: Carda
mesh_terms: D002763:Cholecystectomy; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000150:complications* / Q000628:therapy; D011655:Pulmonary Embolism / Q000150:complications* / Q000628:therapy