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一名15岁曾受约束的精神病患者的深静脉血栓形成:病例报告

Deep Vein Thrombosis in a 15-Year-Old Previously Restrained Psychiatric Patient: A Case Report.

作者信息

Mikusek-Pham Van Marcin

机构信息

Department of Child Psychiatry, University Clinical Center, Warsaw, POL.

出版信息

Cureus. 2024 Jun 12;16(6):e62261. doi: 10.7759/cureus.62261. eCollection 2024 Jun.

DOI:10.7759/cureus.62261
PMID:39006701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11244944/
Abstract

Deep vein thrombosis is a condition in which a thrombus forms in one of the deep veins of the body, most often in the legs. It may manifest with pain, swelling, redness, or increased temperature of the limb, potentially leading to fatal complications such as pulmonary embolism. This is a case of a 15-year-old psychiatric patient diagnosed with deep vein thrombosis of the left lower limb of uncertain etiology. The patient presented few risk factors associated with venous thromboembolism disorder such as immobilization, antipsychotic treatment, and obesity. Even though psychiatry deals primarily with the mind of a patient, somatic complications occur very often and should not be underestimated. One of those complications is deep vein thrombosis, which is worth remembering, especially when applying procedures during which patients are immobilized for a long period.

摘要

深静脉血栓形成是一种血栓在身体的深静脉之一中形成的病症,最常见于腿部。它可能表现为肢体疼痛、肿胀、发红或温度升高,有可能导致诸如肺栓塞等致命并发症。这是一例15岁的精神病患者,被诊断为病因不明的左下肢深静脉血栓形成。该患者几乎没有与静脉血栓栓塞症相关的风险因素,如固定不动、抗精神病药物治疗和肥胖。尽管精神病学主要处理患者的心理问题,但躯体并发症却很常见,不应被低估。深静脉血栓形成就是其中一种并发症,值得牢记,尤其是在实施患者需要长时间固定不动的操作时。

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本文引用的文献

1
Association Between Blood Lipid Levels and Lower Extremity Deep Venous Thrombosis: A Population-Based Cohort Study.血脂水平与下肢深静脉血栓形成的相关性:基于人群的队列研究。
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Psychiatric inpatients subjected to physical restraint have a higher risk of deep vein thrombosis and aspiration pneumonia.接受身体约束的精神科住院患者有更高的深静脉血栓和吸入性肺炎的风险。
Gen Hosp Psychiatry. 2020 Jan-Feb;62:1-5. doi: 10.1016/j.genhosppsych.2019.11.003. Epub 2019 Nov 9.
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Obesity as a causal risk factor for deep venous thrombosis: a Mendelian randomization study.肥胖作为深静脉血栓形成的因果风险因素:一项孟德尔随机化研究。
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