Pulmonary & Critical Care Section, Department of Internal Medicine, Yale School of Medicine 333 Cedar Street, LCI 105B, PO Box 208057, New Haven, CT 06520-8057, USA.
Clin Chest Med. 2010 Dec;31(4):783-97. doi: 10.1016/j.ccm.2010.06.005. Epub 2010 Aug 11.
Upper extremity deep vein thrombosis (UEDVT) is associated with significant morbidity and mortality. The susceptible populations and risk factors for UEDVT are well-known. The presenting symptoms can be subtle, and therefore objective testing is necessary for diagnosis. The optimal diagnostic strategy has not been determined, and more than one test may be required to exclude the diagnosis. Proper treatment reduces the occurrence of complications, and treatment should include long-term anticoagulation if the patient has no contraindications. This article discusses the risk factors, pathogenesis, diagnosis, complications, and management of UEDVT.
上肢深静脉血栓形成(UEDVT)与显著的发病率和死亡率相关。UEDVT 的易感人群和风险因素是众所周知的。其表现症状可能较为隐匿,因此需要进行客观检查以明确诊断。目前尚未确定最佳的诊断策略,可能需要多种检查来排除诊断。恰当的治疗可以减少并发症的发生,如果患者没有禁忌证,应进行长期抗凝治疗。本文讨论了 UEDVT 的危险因素、发病机制、诊断、并发症和治疗。