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