IF 0.3 Q4 PERIPHERAL VASCULAR DISEASEPhlebologiePub Date : 1993-07-01
P Langeron, D Lenica
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引用次数: 0
摘要
本文对5例腔静脉阻塞固定后出现的脓化痰进行了观察。您将发现以下病例报告的特征:患者平均年龄:69.2岁,从55岁到83岁。早期白带痰2例;晚期痰:3例(腔静脉结扎后3年和4年)。临床背景:高龄;一般状态变更1例;动脉易感性:2例;肝素血小板减少1例。负责材料:ombrelle de Mobin Uddin: 3例;Adams-De Weese’s Clip: 2例。目前的过滤器可能较少产生血栓。然而,这些病例报告使我们意识到这样一个事实,即在易感性和/或血液动力学不稳定的情况下,任何可能产生或加重静脉淤滞的因素都可能(立即或稍后)引起严重的血栓形成,特别是在少数情况下,会引起斑疹样痰。因此,部分腔静脉阻塞适应症必须认真考虑,并保留栓塞风险明显的病例。
[Blue phlebitis with exo- and endo-caval filters: 5 case reports].
5 cases of phlegmatia caerula dolens have been observed after the fixation of a cava blocking. You will find below the characteristics of the case reports: Mean age of patients: 69.2, from 55 to 83. Early phlegmatiae caeruleae dolens: 2 cases; late phlegmatiae: 3 cases (3 and 4 years after the cava ligature). Clinical context: advanced age; general state alteration 1 case; artery predisposition: 2 cases; heparin thrombopenia: 1 case. Responsible material: ombrelle de Mobin Uddin: 3 cases; Adams-De Weese's Clip: 2 cases. Current filters are probably less thrombogenous. Nevertheless, these case reports make us aware of the fact that in case of predisposition and/or in case of precary hemodynamic conditions, any factor likely to generate or worsen a venous stasis can originate (immediately or later) a significant thrombosis and, particularly in a few conditions, a phlegmatia caerulea dolens. Consequently, partial cava blocking indications must be seriously taken into consideration and saved for cases in which embolic risk is patent.
期刊介绍:
Als Forum für die europäische phlebologische Wissenschaft widmet sich die CME-zertifizierte Zeitschrift allen relevanten phlebologischen Themen in Forschung und Praxis: Neue diagnostische Verfahren, präventivmedizinische Fragen sowie therapeutische Maßnahmen werden in Original- und Übersichtsarbeiten diskutiert.