Schanzer A, Rockman C B, Jacobowitz G R, Riles T S
Division of Vascular Surgery, Department of Surgery, New York University Medical Center, USA.
J Vasc Surg. 2000 Apr;31(4):815-8. doi: 10.1067/mva.2000.102323.
Thrombosis of the internal jugular vein is a rare entity with the potential for serious consequences. Most of the reported cases of jugular venous thrombosis have occurred in the presence of an indwelling venous catheter, an established hypercoagulable state, or in association with head and neck sepsis. This report presents a case of a patient in whom jugular venous thrombosis developed during the first trimester of pregnancy after in vitro fertilization. Thromboembolism in these circumstances can be related to a condition known as the ovarian hyperstimulation syndrome. The presentation of severe neck pain in pregnant women, especially in those who have undergone assisted reproduction procedures, should prompt evaluation by duplex scan to evaluate the jugular veins for thrombosis. Anticoagulation is the treatment of choice.
颈内静脉血栓形成是一种罕见疾病，可能导致严重后果。大多数已报道的颈静脉血栓形成病例发生在存在留置静脉导管、已确诊的高凝状态或与头颈部脓毒症相关的情况下。本报告介绍了一例患者，该患者在体外受精后的妊娠头三个月发生了颈静脉血栓形成。在这些情况下，血栓栓塞可能与一种称为卵巢过度刺激综合征的病症有关。孕妇出现严重颈部疼痛，尤其是那些接受过辅助生殖程序的孕妇，应通过双功扫描进行评估，以检查颈静脉是否存在血栓形成。抗凝是首选治疗方法。
