Fernandez Matthew, Pollard Henry, McHardy Andrew
Macquarie Injury Management Group, Macquarie University, Sydney 2109, Australia.
J Manipulative Physiol Ther. 2007 Feb;30(2):144-51. doi: 10.1016/j.jmpt.2006.12.009.
The objective of this article is to present and discuss a case of deep vein thrombosis in a chiropractic clinic setting.
A 33-year-old male patient presented for follow-up chiropractic care for a long-term low back complaint. A working diagnosis of facet joint syndrome was made. Despite improvement of low back symptoms, the patient experienced right-sided groin pain. The patient was referred to the hospital with a provisional diagnosis of deep vein thrombosis.
The patient consulted a physician, and within 2 hours of chiropractic consultation, his entire leg had become painful. Doppler ultrasound revealed extensive thrombosis. He was placed on heparin and was hospitalized for 8 days. On discharge, a full-length right leg stocking and moderate exercise were recommended. Consecutive checkups were scheduled with the clot almost resolved at 19 months postdiagnosis.
This case report highlights the importance for the manipulative therapist to be aware of cardiovascular disease mechanisms and associated risk factors, so comanagement via referral to the appropriate specialist can occur.
本文旨在介绍并讨论在整脊诊所环境中发生的一例深静脉血栓形成病例。
一名33岁男性患者因长期下背部不适前来接受整脊后续治疗。初步诊断为小关节综合征。尽管下背部症状有所改善，但患者仍出现右侧腹股沟疼痛。该患者被转诊至医院，初步诊断为深静脉血栓形成。
患者咨询了医生，在接受整脊治疗咨询后的2小时内，其整条腿都开始疼痛。多普勒超声检查显示广泛血栓形成。他接受了肝素治疗，并住院8天。出院时，建议穿着全长右侧腿部弹力袜并进行适度运动。安排了连续检查，在诊断后19个月时血栓几乎已溶解。
本病例报告强调了手法治疗师了解心血管疾病机制及相关危险因素的重要性，以便能够通过转诊至合适的专科医生进行共同管理。
