Shah Mrugeshkumar K, Black-Schaffer Randie M
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital/Harvard Medical School, Boston, Massachusetts 02114, USA.
Am J Phys Med Rehabil. 2003 May;82(5):415-7. doi: 10.1097/01.PHM.0000064740.19570.2A.
Upper limb deep vein thrombosis has been an under-recognized disease; however, physicians' awareness of it as a cause of arm pain and edema is increasing. Previously thought of as benign, upper limb deep vein thrombosis has been shown in recent studies to pose a significant risk for pulmonary embolus and death. The need for treatment is now recognized; however, effective treatments for upper limb deep vein thrombosis have not been fully defined. Anticoagulation with oral agents is known to be successful in preventing complications and recurrence. This report presents the first case of upper limb deep vein thrombosis successfully treated with only low molecular weight heparin.
上肢深静脉血栓形成一直是一种未得到充分认识的疾病;然而,医生们将其视为手臂疼痛和水肿病因的意识正在增强。上肢深静脉血栓形成以前被认为是良性的,但最近的研究表明,它会带来肺栓塞和死亡的重大风险。现在已经认识到治疗的必要性;然而,上肢深静脉血栓形成的有效治疗方法尚未完全明确。已知口服抗凝剂在预防并发症和复发方面是成功的。本报告介绍了首例仅用低分子量肝素成功治疗的上肢深静脉血栓形成病例。