Unidad de Corta Estancia/Trombosis, Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
Servicio de Medicina Interna, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
Arch Bronconeumol. 2015 Aug;51(8):e41-3. doi: 10.1016/j.arbres.2014.09.003.
Paget-Schroetter syndrome (PSS) in the context of upper extremity deep venous thrombosis (DVT) is an uncommon but potentially very serious condition affecting young, healthy adults, in which secondary post-thrombotic syndrome (PTS) can be a complication with major implications. The best treatment option remains controversial, with current guidelines recommending anticoagulation for at least 3 months. However, an incidence of PTS of approximately 50% after 6 months, 30% after 1 year and 25% after 2 years has been found using this therapeutic approach. Consequently, specialized units recommend local thrombolysis and early decompressive surgery. We describe a series of eight cases treated in this way. None of the patients showed signs of complications, and an early return to regular activities with no PTS was observed in 90% of cases.
佩吉特-施罗氏病（PSS）在上肢深静脉血栓形成（DVT）的背景下是一种不常见但可能非常严重的疾病，影响年轻健康的成年人，其中继发的血栓后综合征（PTS）可能是一种严重的并发症。最佳治疗选择仍存在争议，目前的指南建议抗凝治疗至少 3 个月。然而，采用这种治疗方法，6 个月后 PTS 的发生率约为 50%，1 年后为 30%，2 年后为 25%。因此，专门的医疗单位建议采用局部溶栓和早期减压手术。我们描述了一组 8 例采用这种方法治疗的病例。没有患者出现并发症的迹象，90%的患者在早期恢复正常活动且没有 PTS。
