艾滋病毒感染引起的四肢多灶性浅表血栓性静脉炎

P. N. Myshentsev, S. Katorkin
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引用次数: 0

摘要

长期观察结果表明,人类免疫缺陷病毒感染者患静脉血栓栓塞症的风险增加,而且这种疾病容易复发或具有广泛性。此外,与同龄人的平均发病率相比,艾滋病病毒感染者的血栓形成发病率增加了数倍。本文介绍了一例年轻的艾滋病病毒感染者双侧上下肢皮下静脉多发性病变的临床病例。由于门诊治疗效果不佳和下肢升支性浅表血栓性静脉炎,患者需要紧急住院并接受手术治疗,以防止血栓栓塞并发症的发生。术后,为了防止血栓形成过程继续发展,同时缓解静脉壁和静脉旁组织的急性炎症反应症状,对患者进行了综合应用加压疗法、现代口服抗凝药物和疗效确切的静脉药物治疗。术后没有出现并发症。在接下来的几天里,患者的病情有所好转,血栓性肢体损伤明显消退。结论在艾滋病病毒感染的背景下出现上下肢皮下静脉多发性血栓性病变时,及时进行手术干预,同时进行全身抗凝治疗和一般及局部使用的促血栓形成药物治疗,对患者的医疗康复具有显著效果。
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Multifocal superficial thrombophlebitis of the extremities in HIV infection
Long-term observations indicate an increased risk of developing venous thromboembolic conditions in people with the human immunodeficiency virus, their tendency to relapse or a widespread nature. In addition, the incidence of thrombosis increases several times in HIV-infected people compared to the average rates characteristic of people of the same age. A clinical case of multiple bilateral lesions of the subcutaneous veins of the upper and lower extremities in a young patient with HIV infection is presented. Ineffective outpatient treatment and ascending superficial thrombophlebitis of the lower extremities required emergency hospitalization and surgical treatment of the patient to prevent thromboembolic complications. In the postoperative period, in order to prevent the progression of the thrombotic process, as well as to relieve the symptoms of an acute inflammatory reaction of the venous wall and paravasal tissues, a complex application of compression therapy, modern oral anticoagulant drugs, phlebotropic drugs with proven efficacy was carried out. The postoperative period proceeded without complications. In the next few days, the patient’s condition improved, there was a clear regression of thrombotic limb damage. Conclusion: In case of multiple thrombotic lesions of the subcutaneous veins of the upper and lower extremities on the background of HIV infection, the combination of timely surgical intervention with systemic anticoagulant therapy and phlebotropic agents of general and topical use has significant effectiveness in the medical rehabilitation of the patient.
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