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脓毒症患者反应性血小板增多症所致上肢深静脉血栓形成

Deep vein thrombosis of upper extremities due to reactive thrombocytosis in septic patients.

作者信息

Mishra Shakti Bedanta, Bhoyer Jashwini, Gurjar Mohan, Muzaffar Nabeel, Verma Anupam

机构信息

Department of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Department of Transfusion Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

出版信息

Indian J Crit Care Med. 2014 Aug;18(8):540-2. doi: 10.4103/0972-5229.138162.

Abstract

Deep venous thrombosis (DVT) is not an uncommon condition in the intensive care unit (ICU), and having high morbidity and mortality. Upper limb DVT also is increasingly being recognized as a clinical entity. The presence of the indwelling catheter in neck veins is a risk for developing venous thrombus, which may be further aggravated by presence of thrombocytosis. In ICU patients with sepsis, reactive thrombocytosis has been found during the recovery phase. Here, we are presenting two cases, having thrombocytosis and central venous catheter who developed upper limb DVT.

摘要

深静脉血栓形成(DVT)在重症监护病房(ICU)并非罕见疾病,且具有较高的发病率和死亡率。上肢DVT也日益被视为一种临床病症。颈部静脉留置导管是发生静脉血栓的一个危险因素,而血小板增多症可能会进一步加重这种情况。在患有脓毒症的ICU患者中,已发现在恢复阶段会出现反应性血小板增多症。在此,我们报告两例患有血小板增多症且留置中心静脉导管并发生上肢DVT的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a22f/4134631/0bcb60fcb416/IJCCM-18-540-g001.jpg

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