van Zyl Smit Nellis, Govind Abha, Sharma Devesh
Emergency Department, Frimley Park Hospital, Camberley, Surrey, UK.
BMJ Case Rep. 2012 Jun 12;2012:bcr0220125719. doi: 10.1136/bcr.02.2012.5719.
The case of a 26-year-old woman who was 23 weeks pregnant is described; the patient presented, on a weekend, to the emergency department (ED) with left groin pain. There were few clinical signs of deep venous thrombosis (DVT) but ED ultrasound (US) showed a left external iliac vein thrombus. This is a new technique in the ED. Not only does this case show the importance of using this technique in the ED, but it also shows the importance of correct training in how to examine for thrombus in the external iliac vein in the pregnant patient. The patient was admitted to the hospital and started on low-molecular-weight heparin. A formal radiology department US performed the next week confirmed the diagnosis of DVT.
本文描述了一名26岁、孕23周女性的病例；该患者在一个周末因左腹股沟疼痛前往急诊科（ED）就诊。深静脉血栓形成（DVT）的临床体征较少，但急诊科超声（US）显示左髂外静脉血栓。这是急诊科的一项新技术。该病例不仅显示了在急诊科使用这项技术的重要性，还显示了对如何检查孕妇髂外静脉血栓进行正确培训的重要性。患者入院并开始使用低分子量肝素治疗。下周由正规放射科进行的超声检查证实了DVT的诊断。
