上肢深静脉血栓栓塞1例

Azin Hossein Dokht, H. A. Varpaei, M. Mohammadi, H. Amiri
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引用次数: 1

摘要

上肢深静脉血栓形成在患者中是一种罕见的事件,尽管由于癌症诊断率的提高和各种血管导管的使用,发病率有所增加。患者58岁,既往有贫血病史,因前列腺癌行根治性前列腺切除术。病人在全身麻醉下接受了手术。手术后,他被转到重症监护室。入院时,右侧肢体远端(手、腕)水肿,伴发绀、疼痛。患者被诊断为深静脉血栓形成,并给予抗凝药物治疗。4天后,他出院了,总体情况良好,平安无事。本报告显示,静脉置管患者,尤其是手术候选者,深静脉血栓形成的风险较高,术后需要严密监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Upper limb deep vein thromboembolism: a case report
Upper limbs deep vein thrombosis is a rare event in patients, although increasing incidence is seen due to higher cancer diagnosis rate and the use of various vascular catheters. A 58-year-old man with a history of anemia was scheduled for radical prostatectomy due to prostate adenocarcinoma. The patient underwent surgery under general anesthesia. After surgery, he was transferred to the intensive care unit. At the beginning of admission, right limb edema in the distal part of the right limb (hands and wrists) was observed that was accompanied by cyanosis and pain. The patient was diagnosed with deep vein thrombosis and was treated with anticoagulant drugs. He was discharged after 4 days in a good general condition and uneventfully. This report shows that patients with venous catheters, especially patients who are candidates for surgery, are at high risk of deep vein thrombosis and need careful monitoring after surgery.
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