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[硬化疗法的并发症]

[Complications of sclerotherapy].

作者信息

Goldstein M

出版信息

Phlebologie. 1979 Apr-Jun;32(2):221-8.

PMID:482371
Abstract

The authors recently treated three patients showing rather marked complications following sclerosing injections for varicose veins. In the first case, the intra-arterial injection brought about a tissular necrosis in the form of a distal-based triangle. The preservative treatment, undertaken 4 weeks after the injection, did not make it possible to save three toes, that had to be amputated. The second patient was sent to use after an injection in the posterior tibial artery. Acute ischemia was treated on an emergency basis with a lumbar sympathectomy. I believe that the approach we took allowed us to cure the trophic problems and to loose only one small phalanx. The third case reported on concerns a patient brought to us in a state of shock after a massive pulmonary embolism. She had been given a sclerosing injection in a large varicose vein of the leg 48 hours previously. The leg had rapidly increased in volume and was apparently the site of a deep veinous thrombosis.

摘要

作者最近治疗了三名患者,他们在接受静脉曲张硬化注射后出现了较为明显的并发症。在第一例中,动脉内注射导致了以远端为基底的三角形组织坏死。注射4周后进行的保守治疗未能保住三个脚趾,不得不进行截肢。第二例患者在胫后动脉注射后出现急性缺血,紧急进行了腰交感神经切除术。我认为我们采取的治疗方法使我们能够治愈营养问题,仅失去了一个小趾骨。第三例报告的患者在发生大规模肺栓塞后处于休克状态被送到我们这里。她在48小时前在腿部的一条大静脉曲张处接受了硬化注射。腿部迅速肿胀,显然是深静脉血栓形成的部位。

相似文献

1
[Complications of sclerotherapy].[硬化疗法的并发症]
Phlebologie. 1979 Apr-Jun;32(2):221-8.
2
[Acute ischemic syndrome of the foot following sclerotherapy of varicose veins].[静脉曲张硬化治疗后足部急性缺血综合征]
Schweiz Med Wochenschr. 1984 Aug 25;114(34):1155-8.
3
[Arterial complications following surgery or sclerotherapy of varices].[静脉曲张手术或硬化治疗后的动脉并发症]
J Mal Vasc. 1986;11(1):19-22.
4
[Inadvertent injection of the posterior tibial artery in obliteration of varicose veins].[静脉曲张闭塞术中胫后动脉的意外注射]
Schweiz Rundsch Med Prax. 1970 Jun 23;59(25):924-7.
5
Accidental intra-arterial injection during sclerotherapy of varicose veins.静脉曲张硬化治疗期间意外动脉内注射。
Br J Surg. 1974 Feb;61(2):124-6. doi: 10.1002/bjs.1800610212.
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[The untoward aspects of phlebosclerosing therapy].[静脉硬化疗法的不良方面]
Khirurgiia (Mosk). 1971 Feb;47(2):48-52.
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[Ischemic syndrome in the region of the posterior tibial artery after sclerosing injections in calcaneous gout].[跟骨痛风硬化注射后胫后动脉区域的缺血综合征]
Phlebologie. 1968 Jan-Mar;21(1):59-63.
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Preliminary experience with a new sclerosing foam in the treatment of varicose veins.一种新型硬化泡沫用于治疗静脉曲张的初步经验。
Dermatol Surg. 2001 Jan;27(1):58-60.
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[The significance of deep crural thrombosis and pulmonary embolism in the sclerotherapy of varices (practical experience)].[下肢深静脉血栓形成和肺栓塞在静脉曲张硬化治疗中的意义(实践经验)]
Cesk Dermatol. 1982 Jun;57(3):182-5.
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Accidental intra-arterial injection during a sclerosing treatment of varicose veins: apropos of a case.静脉曲张硬化治疗期间意外动脉内注射:附病例报告
Angeiologie. 1971 May-Jun;23(3):183-4.