Sanz Gonzalo J J, Alobid I, Martínez Molina P, Arias Cuchí G, Ruiz A, Cuchí A
Servicio de Otorrinolaringología, Hospital Clinic, Barcelona.
Acta Otorrinolaringol Esp. 2001 Jun-Jul;52(5):432-6. doi: 10.1016/s0001-6519(01)78232-5.
Venous thrombosis in superior extremities and neck represent less than 5% of the total of venous thrombosis. Internal jugular vein thrombosis is associated with intravenous drug abuse, long term venous catheterization, local infection or spontaneous occlusion. The clinical findings are cervical swelling, progressive inflammatory signs overlying sternomastoid muscle, and an important functional limitation. Diagnosis is confirmed by cervical ultrasounds and contrast-enhanced computer tomography. Usual treatment involves anticoagulation and antibiotics, surgery is not frequently needed. We described the management and outcome of six cases of internal jugular vein thrombosis.
上肢和颈部的静脉血栓形成占静脉血栓形成总数的比例不到5%。颈内静脉血栓形成与静脉药物滥用、长期静脉置管、局部感染或自发性闭塞有关。临床表现为颈部肿胀、胸锁乳突肌上渐进性炎症体征以及严重的功能受限。通过颈部超声和增强计算机断层扫描确诊。通常的治疗包括抗凝和使用抗生素,很少需要手术。我们描述了6例颈内静脉血栓形成的治疗及结果。