[创伤性下腔静脉血栓形成]

[Traumatic thrombosis of the inferior vena cava].

作者信息

Mouaffak Y, Mikou M M, Benyacob A, Mosaddek A, Faroudy M, Ababou A, Lazreq C, Sbihi A

机构信息

Service de réanimation des urgences chirurgicales, hôpital Avicenne, centre hospitalier universitaire Ibn-Sina, Rabat, Maroc.

出版信息

Ann Fr Anesth Reanim. 2004 Jul;23(7):740-4. doi: 10.1016/j.annfar.2004.04.013.

DOI:10.1016/j.annfar.2004.04.013

PMID:15324965

Abstract

Traumatic thrombosis of vena cava is rare. Thrombosis of the inferior vena cava diagnosed by uroscanner after blunt abdominal trauma involving the kidney is reported. The Doppler exam confirmed the floating character of the clot. Three days after the initiation of anticoagulant therapy, the thrombus disappeared without any clinical or radiological signs of pulmonary embolism. Fifteen cases of traumatic thrombosis of the inferior vena cava have been described in the literature. Mechanisms, clinical pictures and the management are discussed.

摘要

创伤性腔静脉血栓形成较为罕见。本文报道了一例钝性腹部创伤累及肾脏后经尿路扫描仪诊断出的下腔静脉血栓形成。多普勒检查证实了血栓的漂浮特性。抗凝治疗开始三天后，血栓消失，未出现任何肺栓塞的临床或放射学迹象。文献中已描述了15例创伤性下腔静脉血栓形成病例。本文对其机制、临床表现及治疗方法进行了讨论。