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一位年轻管弦乐队指挥深静脉血栓形成的罕见原因。

A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor.

作者信息

Lungu Anca Mihaela, Andrei Irina Mariella, Uscoiu Gabriela, Grigore Mihai, Iliesiu Adriana Mihaela

机构信息

Cardiology Department, "Prof. Dr. Th. Burghele", 050659 Bucharest, Romania.

Internal Medicine and Cardiology Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

出版信息

Diagnostics (Basel). 2024 Feb 6;14(4):354. doi: 10.3390/diagnostics14040354.

DOI:10.3390/diagnostics14040354
PMID:38396393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10887723/
Abstract

Upper extremity deep vein thrombosis (DVT) of the axillary/subclavian veins is rare (5-10% of DVT). After clinical suspicion and duplex ultrasound, anticoagulation, surgical decompression and sometimes thrombolysis are mandatory due to complications. We discuss the case of a young healthy orchestra conductor with primary DVT of the left upper extremity and concomitant left shoulder musculo-tendinous traumatic injury. Symptoms of both conditions and subtle signs of upper extremity DVT delayed the diagnosis until full-blown DVT occurred. After successful anticoagulation and surgical TOS (thoracic outlet syndrome) decompression, evolution was favorable, without recurrent thrombosis.

摘要

上肢腋静脉/锁骨下静脉的深静脉血栓形成（DVT）较为罕见（占DVT的5-10%）。在临床怀疑并进行双功超声检查后，由于可能出现并发症，抗凝、手术减压以及有时进行溶栓治疗是必要的。我们讨论了一位年轻健康的管弦乐队指挥的病例，他患有左上肢原发性DVT并伴有左肩肌肉肌腱创伤性损伤。两种病症的症状以及上肢DVT的细微体征使诊断延迟，直至出现典型的DVT。在成功进行抗凝和手术性胸廓出口综合征（TOS）减压后，病情进展良好，未出现复发性血栓形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/10887723/17e239598305/diagnostics-14-00354-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/10887723/7590b008f276/diagnostics-14-00354-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/10887723/b80b57e03199/diagnostics-14-00354-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/10887723/17e239598305/diagnostics-14-00354-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/10887723/7590b008f276/diagnostics-14-00354-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/10887723/b80b57e03199/diagnostics-14-00354-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c62/10887723/17e239598305/diagnostics-14-00354-g003.jpg

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Diagnostic and Therapeutic Management of Upper Extremity Deep Vein Thrombosis.上肢深静脉血栓形成的诊断与治疗管理
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A Prospective Evaluation of Duplex Ultrasound for Thoracic Outlet Syndrome in High-Performance Musicians Playing Bowed String Instruments.
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Diagnostics (Basel). 2018 Jan 25;8(1):11. doi: 10.3390/diagnostics8010011.
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