外周化脓性血栓性静脉炎所致感染性肺栓塞：一例报告及文献综述
Septic Pulmonary Emboli From Peripheral Suppurative Thrombophlebitis: A Case Report and Literature Review.
作者信息
Ho Vy T, Rothenberg Kara A, McFarland Graeme, Tran Kenneth, Aalami Oliver O
机构信息
1 Division of Vascular Surgery, Department of Surgery, Stanford Health Care, Stanford, CA, USA.
2 Department of Surgery, University of California San Francisco-East Bay, Oakland, CA, USA.
出版信息
Vasc Endovascular Surg. 2018 Nov;52(8):633-635. doi: 10.1177/1538574418779469. Epub 2018 Jun 18.
BACKGROUND
: We report the case of a 90-year old woman who presented with septic pulmonary emboli due to suppurative thrombophlebitis at an old peripheral intravenous site.
METHODS
: After unsuccessful treatment with antibiotics, the patient was taken to the operating room for excision and drainage of the purulent superficial vein.
RESULTS
: We review the literature and discuss the presentation, risk factors, treatment options, and complications of this often-overlooked disease entity.
CONCLUSIONS
: Suppurative thrombophlebitis is a rare but morbid disease that requires a high level of clinical suspicion to diagnose.
背景
我们报告了一例90岁女性患者，因陈旧性外周静脉穿刺部位的化脓性血栓性静脉炎导致感染性肺栓塞。
方法
在抗生素治疗无效后，患者被送往手术室，对化脓的浅表静脉进行切除和引流。
结果
我们回顾了文献，并讨论了这种常被忽视的疾病实体的临床表现、危险因素、治疗选择及并发症。
结论
化脓性血栓性静脉炎是一种罕见但严重的疾病，诊断需要高度的临床怀疑。
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