Swanson Eric
Swanson Center, Leawood, Kans.
Plast Reconstr Surg Glob Open. 2020 Apr 24;8(4):e2803. doi: 10.1097/GOX.0000000000002803. eCollection 2020 Apr.
A distal deep vein thrombosis is generally believed to be clinically unimportant because of a low incidence of pulmonary emboli. To the author's knowledge, a symptomatic pulmonary embolism has not been reported in association with an isolated calf deep vein thrombosis in a plastic surgery outpatient. This case report provides the clinical details of a pulmonary embolism occurring after routine ultrasound detection of a distal deep vein thrombosis. Proximal deep venous thromboses originate in the calf and are dangerous because they frequently embolize. Ultrasound surveillance provides early detection of subclinical distal deep vein thromboses. Anticoagulation is initiated, suppressing propagation of the thrombosis to the deep veins of the thigh, and reducing the risk of a catastrophic pulmonary embolism.
由于肺栓塞发生率低，远端深静脉血栓通常被认为在临床上并不重要。据作者所知，整形外科门诊患者中，孤立性小腿深静脉血栓合并有症状的肺栓塞尚未见报道。本病例报告提供了在常规超声检测到远端深静脉血栓后发生肺栓塞的临床细节。近端深静脉血栓形成于小腿，因其常发生栓塞而具有危险性。超声监测可早期发现亚临床远端深静脉血栓。启动抗凝治疗，可抑制血栓向大腿深静脉蔓延，降低发生灾难性肺栓塞的风险。
