Сlinical浅表性血栓性静脉炎治疗1例(独创性独特)

A. B. Sannikov
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引用次数: 0

摘要

在静脉曲张患者中,4-59%的患者发生浅静脉血栓性静脉炎。不幸的是,尽管在我们的日常临床实践中有大量发表的官方资料提供了治疗静脉血栓性静脉炎的建议,但我们继续遇到的不仅是一针见血的病例,而且还因为它们的荒谬,超出了合理的理解(预约水蛭,用白熏菜消毒静脉,酒精压迫和二甲苯洗液)。本临床病例报告描述了一名65岁患者的病例,他最初因出现单一密封和下肢上三分之一充血而向当地治疗师寻求医疗帮助。在两周的时间里,患者试图通过酒精压迫来独立地停止炎症。由于缺乏积极的效果,地区治疗师开了抗生素和热敷联合非尼瓦胺/尼科博西软膏。两周后,随着炎症的进展和整个下肢内表面坏死灶背景下的多个化脓性伤口,患者转向我们的医疗中心。结果,我们花了两个多月的时间才止住了炎症,并治愈了继发性紧张的广泛脓性伤口。静脉血栓性静脉炎在静脉曲张中的治疗已经有了很长时间的详细研究。采用保守手段的策略和手术效果取决于疾病的部位、流行程度、急慢性病程。本出版物的目的是将专家的注意力集中在一个具体的例子,从实践中选择治疗静脉血栓性静脉炎的方法。
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Сlinical case of treatment of superficial thrombophlebitis (unique in its originality)
Among patients with varicose veins, superficial vein thrombophlebitis occurs in 4–59% of patients. Unfortunately, despite the large number of published official sources with recommendations for the treatment of vein thrombophlebitis in our daily clinical practice, we continue to meet not just with casuistic cases, but because of their absurdity, which are beyond reasonable understanding (the appointment of leeches, c auterization of veins with celandine, alcohol compresses and lotions with dimexide). This clinical case report describes the case of a 65-year-old patient who initially sought medical help from a local therapist due to the appearance of a single seal and hyperemia in the upper third of the lower leg. For two weeks, the patient tried to independently stop the inflammation with alcohol compresses. Due to the lack of a positive effect, the district therapist prescribed antibiotics and warming compresses with combined nonivamide/nicoboxil ointment. Two weeks later, with the progression of inflammation and multiple purulent wounds on the background of necrosis foci throughout the inner surface of the entire lower limb, the patient turned to our medical center. As a result, it took us more than two months to stop the inflammation and heal extensive purulent wounds with secondary tension. Treatment of vein thrombophlebitis in varicose veins has been developed in detail for a long time and in detail. The tactics of using conservative means and operational benefits depend on the localization, prevalence, acute or chronic course of the disease. The purpose of this publication is to focus the attention of specialists of a wide profile on a specific example from practice on the choice of methods of treatment of vein thrombophlebitis.
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