Stölzel K, Jovanovic S, Albers A E
Hals-Nasen-Ohren-Klinik, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12203 Berlin, Germany.
HNO. 2013 Mar;61(3):250-5. doi: 10.1007/s00106-011-2460-3.
Jugular vein thrombosis (JVT) is extremely difficult to diagnose clinically because of its rarity, the wide range of possible symptoms and the variety of differential diagnoses. A rapid diagnosis is important in order to avoid or prevent imminent life-threatening complications. This study reports a clinical case of extensive JVT due to increased thrombophilia in conjunction with ovarian hyperstimulation syndrome (OHSS) after in vitro fertilization, increased APC resistance and immobilization. It also discusses the current literature that forms the basis for recommendations regarding the diagnosis, therapy and interdisciplinary management.
颈静脉血栓形成(JVT)在临床上极难诊断,因其罕见、可能出现的症状范围广泛且鉴别诊断多样。快速诊断对于避免或预防即将危及生命的并发症很重要。本研究报告了一例体外受精后因血栓形成倾向增加合并卵巢过度刺激综合征(OHSS)、活化蛋白C抵抗增加和制动导致的广泛JVT临床病例。它还讨论了构成诊断、治疗和多学科管理建议基础的当前文献。