Leonard R B, Forauer A R, Petrilli R, Schwartz E
Department of Emergency Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27103.
J Emerg Med. 1991 Jan-Apr;9(1-2):19-22. doi: 10.1016/0736-4679(91)90526-l.
Deep-vein thrombosis of the upper extremity, that is, axillosubclavian vein thrombosis, is a relatively rare and potentially overlooked diagnosis in the emergency department (ED). It can be the cause of significant morbidity and it may be life-threatening. Reported here is the case of a 23-year-old man who presented to the ED with left upper extremity pain and swelling. Venography confirmed the diagnosis of axillosubclavian vein thrombosis. Hospitalization and treatment with intravenous heparin led to a satisfactory recovery. The clinical presentation, predisposing factors, diagnosis, treatment, and complications of this rare entity are discussed.
上肢深静脉血栓形成，即腋-锁骨下静脉血栓形成，在急诊科是一种相对罕见且可能被忽视的诊断。它可能导致严重的发病情况，甚至可能危及生命。本文报告了一名23岁男性患者，他因左上肢疼痛和肿胀就诊于急诊科。静脉造影证实了腋-锁骨下静脉血栓形成的诊断。住院并接受静脉肝素治疗后，患者恢复良好。本文还讨论了这种罕见疾病的临床表现、诱发因素、诊断、治疗及并发症。
