Umana E, Elsherif M, Binchy J
Emergency Department, University Hospital Galway, Ireland
Vascular Surgery Department, University Hospital Galway, Ireland
Ir Med J. 2019 Feb 14;112(2):873.
Paget-Schroetter Syndrome (PSS) or effort thrombosis of the axillary-subclavian venous axis is a rare disease affecting healthy young adults which requires a high index of suspicion to diagnose. Management often requires not only anticoagulation but also thrombolysis with first rib resection to prevent recurrence and complications. We present a case of a 31-year-old male who presented to our emergency department with pain and swelling of his left upper limb. He was diagnosed with PSS and underwent; anticoagulation, catheter directed thrombolysis and planned for first rib resection.
佩吉特-施罗特综合征（PSS）或腋-锁骨下静脉轴劳力性血栓形成是一种影响健康年轻成年人的罕见疾病，诊断时需要高度怀疑。治疗通常不仅需要抗凝，还需要进行溶栓并切除第一肋以预防复发和并发症。我们报告一例31岁男性患者，他因左上肢疼痛和肿胀就诊于我院急诊科。他被诊断为佩吉特-施罗特综合征，并接受了抗凝、导管定向溶栓治疗，并计划进行第一肋切除。
