Habscheid W
Medizinische Klinik, Paracelsus-Krankenhauses Ruit, Ostfildern.
Dtsch Med Wochenschr. 1999 Jun 25;124(25-26):793-6. doi: 10.1055/s-2007-1024422.
A 79-year old man was admitted because of increasing dyspnoea. At physical examination he had dyspnoea at rest, auscultation of the lung was unremarkable and there was no peripheral oedema or unilateral swelling of a leg to suggest venous thrombosis.
Chest radiogram was unremarkable. Perfusion scintigraphy of the lung, performed to exclude pulmonary embolism, revealed several defects typical of emboli. Duplex sonography revealed an isolated thrombosis of the left profunda femoris vein, while the deep veins were patent.
Anticoagulation with heparin followed by phenprocoumon rapidly improved the symptoms and the patient was discharged after 10 days.
Thrombosis of the profunda femoris vein can cause clinically relevant pulmonary embolism. While this vessel cannot be visualized by phlebography, duplex sonography easily establishes the diagnosis and should be used routinely in the investigation of suspected thrombosis of the leg veins.
一名79岁男性因进行性呼吸困难入院。体格检查发现其静息时即有呼吸困难，肺部听诊无异常，且无外周水肿或单侧腿部肿胀提示静脉血栓形成。
胸部X线片无异常。为排除肺栓塞进行的肺部灌注闪烁扫描显示出几个典型的栓子缺损。双功超声检查发现左股深静脉孤立性血栓形成，而深静脉通畅。
先用肝素抗凝，随后使用苯丙香豆素，症状迅速改善，患者10天后出院。
股深静脉血栓形成可导致具有临床意义的肺栓塞。静脉造影无法显示该血管，而双功超声检查可轻松确诊，在疑似腿部静脉血栓形成的检查中应常规使用。
