使用止血带导致的上肢深静脉血栓形成。
Upper extremity deep vein thrombosis with tourniquet use.
作者信息
Desai Karan, Dinh Trish P, Chung Susan, Pierpont Yvonne N, Naidu Deepak K, Payne Wyatt G
机构信息
Institute for Tissue Regeneration, Repair, & Rehabilitation, Bay Pines VA Health Care System, Bay Pines, FL 33744, United States; Division of Plastic Surgery, University of South Florida, Residency Programs, USF Health (STC), 7th Floor, 2 Tampa General Circle, Tampa, FL 33606, United States.
Institute for Tissue Regeneration, Repair, & Rehabilitation, Bay Pines VA Health Care System, Bay Pines, FL 33744, United States; Division of Plastic Surgery, University of South Florida, Residency Programs, USF Health (STC), 7th Floor, 2 Tampa General Circle, Tampa, FL 33606, United States.
出版信息
Int J Surg Case Rep. 2015;6C:55-7. doi: 10.1016/j.ijscr.2014.11.055. Epub 2014 Nov 20.
INTRODUCTION
Upper extremity deep vein thrombosis is an increasingly important clinical finding with significant morbidity and mortality. The condition may be under-diagnosed in trauma and surgery settings.
PRESENTATION OF CASE
We present a case of upper extremity thrombosis with venous congestive symptoms secondary to the use of an operative tourniquet. A literature review and discussion of the causes of upper extremity deep vein thrombosis and the pathophysiological disturbances seen with tourniquet use are presented.
DISCUSSION
Upper extremity deep venous thrombosis is uncommon. In this case the likely cause was operative tourniquet use.
CONCLUSION
Operative tourniquet may be a risk factor in upper extremity deep vein thrombosis.
引言
上肢深静脉血栓形成是一项日益重要的临床发现，具有显著的发病率和死亡率。在创伤和手术环境中，该病症可能未得到充分诊断。
病例介绍
我们报告一例因使用手术止血带继发静脉充血症状的上肢血栓形成病例。本文还对上肢深静脉血栓形成的原因及使用止血带时出现的病理生理紊乱进行了文献综述和讨论。
讨论
上肢深静脉血栓形成并不常见。在本病例中，可能的原因是使用了手术止血带。
结论
手术止血带可能是上肢深静脉血栓形成的一个危险因素。
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