Jones R Ek, McCann P A, Clark D A, Sarangi P
Department of Trauma and Orthopaedics, Bristol Royal Infirmary, Bristol, UK.
Ann R Coll Surg Engl. 2010 Jul;92(5):W36-8. doi: 10.1308/147870810X12699662980358. Epub 2010 Jun 7.
We present a case a 48-year-old man who was diagnosed with an upper limb deep vein thrombosis post clavicle fracture. He was successfully investigated with a computed tomography (CT) venogram, thrombophilia was excluded, and he was subsequently treated with a 3-month course of anticoagulation. We illustrate this case with photographs and a three-dimensional colour reconstruction of a CT venogram to raise awareness of the condition. A suitable level of clinical suspicion should be maintained by the orthopaedic surgeon; delayed arm swelling with venous congestion following a clavicle fracture should be investigated with CT venography and thrombophilia should be excluded.
我们报告一例48岁男性患者，其在锁骨骨折后被诊断为上肢深静脉血栓形成。通过计算机断层扫描（CT）静脉造影对其进行了成功检查，排除了易栓症，随后给予他为期3个月的抗凝治疗。我们用照片和CT静脉造影的三维彩色重建来说明这个病例，以提高对该病症的认识。骨科医生应保持适当的临床怀疑水平；锁骨骨折后出现伴有静脉充血的手臂延迟肿胀，应通过CT静脉造影进行检查，并排除易栓症。
