论文部分内容阅读
患者男,41岁。因左小腿肿痛9天于1996年6月入院。以往健康,无吸烟史及高危血栓形成因素存在。查:左小腿水肿,轻度触痛。辅助检查:左下肢静脉造影见左股静脉有明显充盈缺损,考虑深静脉血栓。胸片正常,经华法令抗凝治疗6个月,症状未见好转。多普勒超声波检查与以前静脉造影相符。腹、盆腔超声检查正常,以后两年由于左小腿持续肿胀,而行走不便。 1998年再次静脉造影显示股静脉局灶性充盈缺损,认为是血栓持续存在,伴有侧支静脉网形成。1999
Patient male, 41 years old. 9 days left leg pain due to left in June 1996 admitted. Past health, non-smoking history and high risk thrombosis exist. Check: left leg edema, mild tenderness. Auxiliary examination: left venous angiography showed a significant filling defect in the left femoral vein, consider deep venous thrombosis. Normal chest radiography, warfarin anticoagulant therapy for 6 months, the symptoms did not improve. Doppler ultrasound was consistent with previous venography. Abdominal pelvic ultrasound examination was normal, the next two years due to persistent swelling of the left leg, and walking inconvenience. Again 1998 venography angiography showed focal femoral venous filling defect, that is the persistence of thrombus, accompanied by the formation of collateral vein network. 1999