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蓝色下肢：继发于May-Thurner综合征的股青肿

Blue Leg: Phlegmasia Cerulea Dolens Secondary to May Thurner Syndrome.

作者信息

Talib Usama, Talib Amaar

机构信息

Internal Medicine, University of Kentucky College of Medicine, Lexington, USA.

Orthopaedics, Hijaz Hospital, Lahore, PAK.

出版信息

Cureus. 2022 Jan 11;14(1):e21105. doi: 10.7759/cureus.21105. eCollection 2022 Jan.

DOI:10.7759/cureus.21105
PMID:35165564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8830386/
Abstract

Phlegmasia cerulea dolens (PCD) can present as leg pain accompanied by bluish discoloration. It is a limb-threatening emergency that needs to be promptly addressed with anticoagulation with consideration of thrombolytics. We present a case of PCD in an 83-year-old female without obvious risk factor for thrombosis, found to have May Thurner Syndrome (MTS) requiring a chemical and mechanical approach to prevent catastrophic outcomes.

摘要

股青肿可表现为腿痛伴皮肤发蓝。这是一种威胁肢体的急症，需要立即进行抗凝治疗，并考虑使用溶栓药物。我们报告一例83岁女性股青肿病例，该患者无明显血栓形成危险因素，经检查发现患有May-Thurner综合征（MTS），需要采用药物和机械方法来预防灾难性后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ac0/8830386/527cc7577215/cureus-0014-00000021105-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ac0/8830386/b9320b164fb9/cureus-0014-00000021105-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ac0/8830386/527cc7577215/cureus-0014-00000021105-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ac0/8830386/b9320b164fb9/cureus-0014-00000021105-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ac0/8830386/527cc7577215/cureus-0014-00000021105-i02.jpg

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本文引用的文献

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Phlegmasia cerulea dolens superimposed on disseminated intravascular coagulation in COVID-19.COVID-19 并发蓝色淤斑疼痛性凝血病伴弥散性血管内凝血。
Acta Biomed. 2021 Sep 2;92(4):e2021101. doi: 10.23750/abm.v92i4.11478.
3
Effective single-session percutaneous nonpharmacologic mechanical thrombectomy for phlegmasia cerulea dolens.
单次经皮非药物机械性血栓切除术治疗股青肿有效。
J Vasc Surg Cases Innov Tech. 2020 Apr 15;6(2):212-215. doi: 10.1016/j.jvscit.2020.02.008. eCollection 2020 Jun.
4
May-Thurner syndrome: a not so uncommon cause of a common condition.梅-图二氏综合征：一种常见病症的并非罕见的病因。
Proc (Bayl Univ Med Cent). 2012 Jul;25(3):231-3. doi: 10.1080/08998280.2012.11928834.
5
Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.静脉血栓栓塞症的抗血栓治疗：《抗血栓治疗与血栓预防，第 9 版》：美国胸科医师学会循证临床实践指南。
Chest. 2012 Feb;141(2 Suppl):e419S-e496S. doi: 10.1378/chest.11-2301.
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Vasc Endovascular Surg. 2011 Jan;45(1):5-14. doi: 10.1177/1538574410388309.
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