The wheelchair thrombosis syndrome.
作者信息
Lohiya Ghan-Shyam, Tan-Figueroa Lilia, Silverman Steve, Le Hung Van
机构信息
Fairview Developmental Center, Costa Mesa, CA, USA.
出版信息
J Natl Med Assoc. 2006 Jul;98(7):1188-92.
OBJECTIVE
To report a case of deep vein thrombosis (DVT) related to prolonged wheelchair use.
CASE REPORT
A 48-year-old patient with spastic quadriplegia usually spent 10-12 hours daily in a wheelchair. He suddenly developed marked swelling of his right foot, leg and thigh. His plasma D-dimer level was 1,030 (normal <500) ng/ml. A duplex ultrasound revealed common femoral vein thrombosis. He was hospitalized and anticoagulated; his extremity swelling decreased considerably by day 45. Hypercoagulability work-up disclosed previously subclinical mild elevation of serum cardiolipin immunoglobulin G (antiphospholipid syndrome). This patient will receive longterm anticoagulation.
CONCLUSION
Prolonged sitting in wheelchair may cause DVT. To enhance public recognition of this avoidable risk, we propose the term "wheelchair thrombosis syndrome."
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