1病历摘要女,42岁。主因左下肢肿胀1 a,左小腿青紫、疼痛1 d入院。患者缘于1 a前手术后出现左下肢水肿及活动时小腿疼痛,急查下肢血管彩超示左侧髂外静脉下段、左股总静脉、股浅及胫后静脉上段深静脉血栓形成,予抗凝等治疗后好转出院,院外坚持服用华法林片抗凝治疗,监测INR值调整华法林片剂量。1 a来华法林抗凝达标,左下肢长时间站立及活动后仍 1 medical record summary female, 42 years old. The main left lower extremity swelling 1 a, left calyx bruising, pain 1 d admission. Patients due to 1 a before surgery after the left lower extremity edema and activity when the calf pain, acute extremity vascular color Doppler ultrasound showed that the left lower external iliac vein, left common femoral vein, superficial femoral and deep vein thrombosis, Condensation and other improvements after discharge, adhere to the hospital warfarin anticoagulant therapy, monitoring INR value adjusted warfarin dose. 1 a warfarin anticoagulant standard, the left lower limb for a long time after standing and activity still