Bartter T, Hollingsworth H M, Irwin R S, Bianco J A, Frid D J, Dalen J E
Arch Intern Med. 1987 Feb;147(2):373-5.
A patient with bronchogenic carcinoma developed acute thrombophlebitis below the knee followed by pulmonary embolism. Sequential nuclear venograms, perfusion lung scans, bilateral impedance plethysmography, and the patient's clinical course indicated that the below-knee thrombus had embolized in its entirety, causing clinically significant disease. This case demonstrates that below-knee thrombi are not always benign and, in certain circumstances, merit anticoagulation.
一名支气管源性癌患者发生了膝下急性血栓性静脉炎,随后出现肺栓塞。连续的核素静脉造影、肺灌注扫描、双侧阻抗体积描记法以及患者的临床病程表明,膝下血栓已全部发生栓塞,导致了具有临床意义的疾病。该病例表明,膝下血栓并非总是良性的,在某些情况下,值得进行抗凝治疗。