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女性,48岁。于1991年4月左小腿内侧疖肿感染,3日内肿胀波及腘窝及整个大腿。并沿小隐静脉生成触痛性条索状物。皮肤红肿,疼痛益甚,行走困难。经当地医院间断服用阿斯匹林、潘生丁10余天无效转我院。入院检查:体温37.3℃。肥胖体型。左下肢明显肿胀,不能行走。沿小隐静脉走向可见蚓、团状静脉扩张,周围皮肤充血,触痛剧。腘窝下方有一未愈疖肿。实验室检查:白细胞10.04×10~9/L,中性粒细胞0.88。血沉28mm/h。股静脉压2.76kPa(28cm H_2O)。诊断:血栓性浅静脉炎;深部静脉血栓形成。入院后,卧床休息,穿紧身弹力裤。服肠溶阿斯匹林0.3g,每日1次,丹参注射液10ml静滴,每日1次。治疗1周患肢肿胀疼痛未减。加用血塞通200mg、蝮蛇抗栓酶0.5U静脉滴注,每日1次,5d后疼痛减轻,但充血肿胀依旧。因患者不接受手术取栓,故转理疗科治疗。采用苏北计量仪表厂TSY-
Female, 48 years old. In April 1991 the left calf sternal swollen infection, swelling within 3 days affected popliteal fossa and the entire thigh. And along the small saphenous vein to generate tender cords. The skin is red and swollen, the pain is very good, difficult to walk. Intermittent taking aspirin by the local hospital, dipyridamole 10 days invalid transfer to our hospital. Admission examination: body temperature 37.3 ℃. Fat body type. Left lower extremity was obviously swollen, can not walk. Visible along the small saphenous vein, dilated dilated veins, hyperemia around the skin, tenderness drama. Under the nest there is an unhealed boil swollen. Laboratory tests: white blood cells 10.04 × 10 ~ 9 / L, neutrophils 0.88. ESR 28mm / h. The femoral vein pressure was 2.76 kPa (28 cm H 2 O). Diagnosis: thrombophlebitis; deep venous thrombosis. After admission, bed rest, wear tight pants. Take enteric-coated aspirin 0.3g, 1 day, 10ml Danshen injection intravenously once daily. 1 week treatment of limb swelling pain was not reduced. Add Xuesaitong 200mg, viper antithrombin 0.5U intravenous infusion, 1 day, 5d after the pain relief, but the congestion and swelling still. Because patients do not accept surgery for suppository, so turn treatment department therapy. North Jiangsu Measurement Instrument Factory TSY-