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因常规采血继发的肱静脉浅静脉血栓形成并蔓延至锁骨下静脉和颈内静脉

Superficial Venous Thrombosis of the Brachial Vein With Extension Into the Subclavian and Internal Jugular Veins, Secondary to a Routine Blood Draw.

作者信息

Loesche Jacob, Brown Samuel, Myers Melissa

机构信息

Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.

出版信息

Cureus. 2023 Apr 28;15(4):e38260. doi: 10.7759/cureus.38260. eCollection 2023 Apr.

Abstract

Superficial thrombophlebitis, also known as superficial venous thrombosis, is an inflammatory condition involving the veins just below the surface of the skin secondary to clotted blood within that vein. The majority of cases are self-limited or resolve with a short course of anti-inflammatory medications and the application of warm compresses. Due to the self-limited nature of this disease process, clinically significant complications have rarely been described but are being seen more often in recent literature. This case report discusses an instance of superficial thrombophlebitis that occurred secondary to a routine blood draw and progressed to potentially life-threatening deep vein thrombosis. This case highlights the need for physicians to be aware of the potential complications of superficial thrombophlebitis and the importance of delivering strict return precautions to every patient with this condition.

摘要

浅静脉血栓形成,也称为浅表静脉血栓形成,是一种炎症性疾病,涉及皮肤表面下方的静脉,继发于该静脉内的血液凝固。大多数病例是自限性的,或通过短期抗炎药物治疗和热敷即可缓解。由于该疾病过程的自限性,临床上显著的并发症很少被描述,但在最近的文献中越来越常见。本病例报告讨论了一例因常规采血继发的浅静脉血栓形成,并进展为可能危及生命的深静脉血栓形成的病例。本病例强调了医生需要意识到浅静脉血栓形成的潜在并发症,以及对每一位患有这种疾病的患者提供严格回访预防措施的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb13/10147346/26c9579e088f/cureus-0015-00000038260-i01.jpg

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