Kesieme Emeka Blessius, Okokhere Peter, Eluehike Sylvester, Isabu Peter
Department of Surgery, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria.
Department of Medicine, Irrua Specialist Teaching Hospital, PMB 8, Irrua, Edo State, Nigeria.
Pan Afr Med J. 2014 Jul 26;18:254. doi: 10.11604/pamj.2014.18.254.2569. eCollection 2014.
Iliofemoral deep vein thrombosis is a medical emergency associated with pulmonary embolism, severe postthrombotic morbidity and increased rates of recurrence. We present 3 cases of iliofemoral deep vein thrombosis managed in a setting of limited resources. Results of 2-D Ultrasound scan which suggested proximal DVT was confirmed by Doppler ultrasound scan. Patients were all managed by systemic anticoagulation alone. In experienced hands, it is possible to diagnose iliofemoral DVT with 2-D Ultrasound scan and treatment with systemic anticoagulation alone still has a role. However recent studies have proved clearly the superiority of thrombectomy over systemic anticoagulation alone. There is a need to improve the infrastructure and expertise of clinicians managing these conditions in underdeveloped settings to enable them offer the best to their patients.
髂股深静脉血栓形成是一种与肺栓塞、严重血栓后并发症及复发率增加相关的医疗急症。我们介绍3例在资源有限情况下治疗的髂股深静脉血栓形成病例。二维超声扫描提示近端深静脉血栓形成的结果经多普勒超声扫描得以证实。所有患者均仅接受全身抗凝治疗。在经验丰富的医生手中，使用二维超声扫描诊断髂股深静脉血栓形成是可行的，且仅进行全身抗凝治疗仍有作用。然而，近期研究已明确证实血栓切除术优于单纯全身抗凝治疗。在欠发达地区，有必要改善管理这些病症的临床医生的基础设施和专业技能，以便他们能为患者提供最佳治疗。
