Paget-Schroetter 综合征:早期发现和有效手术干预的重要性。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Archive of clinical cases Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI:10.22551/2023.41.1004.10275
Sofija Pejkova, Darko Aleksovski, Sara Hadjitrifon, Sofija Tusheva, Gordana Georgieva, Blagoja Srbov, Oskar C Aszmann
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引用次数: 0

摘要

帕吉特-施罗特综合征(PSS)是一种相对罕见的胸廓出口综合征,以锁骨下静脉血栓形成或血凝块形成为特征。由于症状无特异性且发病率低,PSS 常常被医务人员漏诊,因此常常导致诊断错误和患者得不到治疗。我们介绍的病例是一名 30 岁的 CrossFit 教练,他患上了锁骨下静脉血栓。最初,患者因右肩部位肿胀和右上肢变色而就诊于内科医生。血管造影检查显示锁骨下静脉闭塞,医生为其开具了抗凝治疗处方。一年多以来,患者症状未变,锁骨下静脉闭塞依然存在。静脉造影检查怀疑锁骨下静脉血栓形成。患者接受了锁骨下静脉减压手术。6 个月后,术后计算机断层扫描血管造影结果显示,静脉血流已完全恢复,静脉血管壁也未发现病变。本报告旨在提高医务人员对 PSS 的认识,从而更早地做出诊断,并进行适当的临床手术治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Paget-Schroetter syndrome: the importance of early detection and effective surgical intervention.

Paget-Schroetter syndrome (PSS) is relatively rare condition of thoracic outlet syndrome characterized by thrombosis or blood clot formation in the subclavian vein. Due to the non-specific symptoms and low incidence rate, PSS is frequently missed by medical professionals, and as such it often leads to wrong diagnosis and untreated patients. We present the case of a 30-year-old CrossFit trainer who developed a thrombosis of the subclavian vein. Initially, the patient consulted an internist after experiencing swelling in the right shoulder region and discoloration of the right upper extremity. Angiography revealed occlusion of the subclavian vein and anticoagulant therapy was prescribed. For more than a year, the patient's symptoms remained unchanged, and the subclavian vein occlusion persisted. Venography suspected effort thrombosis of the subclavian vein. The patient underwent surgery for decompression of the subclavian vein. After six months, results from post-operative computed tomography angiography showed that venous flow was fully restored and no pathology of the venous vessel wall could be demonstrated. This report aims to increase awareness of PSS among medical professionals, leading to earlier diagnosis and adequate clinical-surgical management.

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