Mirpuri-Mirpuri P G, Álvarez-Cordovés M M, Pérez-Monje A
Medicina de Familia y Comunitaria, Centro de Salud Doctor Guigou, Tenerife, España.
Semergen. 2013 Jul-Aug;39(5):e15-9. doi: 10.1016/j.semerg.2012.07.001. Epub 2012 Sep 13.
Venous thromboembolic disease in its clinical spectrum includes both deep vein thrombosis and pulmonary thromboembolism, which is usually a complication of deep vein thrombosis. It is a relatively common disease with significant morbidity and requires an accurate diagnosis. They are numerous risk factors for venous thromboembolism, and there is evidence that the risk of thromboembolic disease increases proportionally to the number of predisposing risk factors present. The primary care physician should know the risk factors and suspect the presence of venous thromboembolic disease when there is a compatible clnical picture. The treatment for this pathology is anticoagulation. We report a patient with cardiovascular risk factors who was seen with pain in the right leg and shortness of breath and referred to the hospital with suspected venous thromboembolism, atrial fibrillation and pleural effusion.
静脉血栓栓塞性疾病在其临床范围内包括深静脉血栓形成和肺血栓栓塞，后者通常是深静脉血栓形成的并发症。它是一种相对常见的疾病，具有显著的发病率，需要准确诊断。静脉血栓栓塞有许多危险因素，并且有证据表明血栓栓塞性疾病的风险与存在的易感危险因素数量成比例增加。初级保健医生应该了解这些危险因素，并且当出现相符的临床表现时怀疑静脉血栓栓塞性疾病的存在。这种病症的治疗方法是抗凝。我们报告了一名有心血管危险因素的患者，该患者因右腿疼痛和呼吸急促就诊，并因疑似静脉血栓栓塞、心房颤动和胸腔积液被转诊至医院。
