Raju Sneha, Byrne John
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of Vascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
J Vasc Surg Cases Innov Tech. 2017 Jul 18;3(3):146-148. doi: 10.1016/j.jvscit.2017.05.002. eCollection 2017 Sep.
An 85-year-old man presented with an acute asymptomatic lateral neck mass in the context of deep tissue neck massages during the past year. He was referred to vascular surgery after an ultrasound examination of the neck revealed a thrombus in the external jugular vein. His past medical history and comorbidities were noncontributory. A multidisciplinary team of vascular surgeons and hematologists did not recommend any anticoagulation, given that the patient did not have any risk factors for thrombosis as well as normal D-dimer levels. The patient was maintained on his previous dose of aspirin (81 mg daily).
一名85岁男性，在过去一年进行深层组织颈部按摩时出现急性无症状性颈部外侧肿块。颈部超声检查发现颈外静脉有血栓形成后，他被转诊至血管外科。他既往的病史和合并症均无特殊。血管外科医生和血液科医生组成的多学科团队不建议进行任何抗凝治疗，因为该患者没有任何血栓形成的危险因素，且D - 二聚体水平正常。患者继续服用之前剂量的阿司匹林（每日81毫克）。
