Gutknecht D R
Department of General Internal Medicine, Geisinger Medical Center, Danville, PA 17822.
South Med J. 1992 Dec;85(12):1244-6. doi: 10.1097/00007611-199212000-00021.
Diagnosis and treatment of apparent deep venous thrombosis in a patient with spinal cord injury can be difficult. Heterotopic ossification in the paralyzed limbs of such patients can mimic deep venous thrombosis and can even produce false-positive findings on venograms. Anticoagulation, in turn, can be associated with soft tissue hemorrhage that may resemble thrombophlebitis and further confound interpretation of venograms. We have presented a case in which all these phenomena were present and in which a remaining risk of embolism was successfully managed through placement of a Greenfield filter.
脊髓损伤患者明显的深静脉血栓形成的诊断和治疗可能具有挑战性。此类患者瘫痪肢体的异位骨化可模拟深静脉血栓形成，甚至在静脉造影上产生假阳性结果。反过来，抗凝治疗可能与软组织出血相关，这可能类似于血栓性静脉炎，并进一步混淆静脉造影的解读。我们报告了一例出现所有这些现象的病例，其中通过放置格林菲尔德滤器成功处理了剩余的栓塞风险。
