Chapman W H, Foley K T, Lee Y T
Department of Surgery, Tripler Army Medical Center, Honolulu, HI 96859-5000.
Mil Med. 1991 May;156(5):252-4.
A case of pulmonary embolism from a venous thrombosis distal to the popliteal vein is reported. This occurred despite venographic and ultrasound verification that the thrombus had not extended to the popliteal vein. The medical literature supports expectant treatment of "calf-only" venous thrombi. Our case clearly demonstrates that clinically significant pulmonary emboli can arise from calf vein thrombi without popliteal involvement.
报告了一例因腘静脉远端静脉血栓形成导致的肺栓塞病例。尽管静脉造影和超声检查证实血栓未扩展至腘静脉，但仍发生了肺栓塞。医学文献支持对“仅累及小腿”的静脉血栓进行保守治疗。我们的病例清楚地表明，临床上有意义的肺栓塞可由未累及腘静脉的小腿静脉血栓引起。
