Preuss E G, Hänsgen K
Z Gesamte Inn Med. 1981 Oct 1;36(19):712-6.
On the basis of two observations of courses is demonstrated that not in the least only hypercoagulability and retardation of the movement of the blood but also contusions of the femoral and hip region by fall and thrown which first of all appear as harmless may become the starting-point for alterations of the venous wall with extended thromboses of the veins of leg and pelvis under inclusion of the infrarenal section of the lower vena cava with a distinct picture of the postthrombotic condition of the lower extremities and a threatening embolism of the lungs. The author deal with expert's problems of the restriction of the function conditioned by accident. For the collateral venous circulation in the thrombosis of the vena cava inferior several accessory ways are at disposal of which the superficial collateral veins of the abdominal wall have diagnostically a high valency, haemodynamically they are, however, only of little importance. In partial thrombosis in the region of the lower vena cava clinically evident collateral circulations may stay away due to good possibilities of compensation as it is proved at a postoperative complication of thrombosis by oligosymptomatology.
基于对病程的两项观察表明，不仅高凝状态和血液流动迟缓，而且因跌倒和抛掷导致的股骨和髋部区域挫伤（起初看似无害），都可能成为静脉壁改变的起始点，进而引发腿部和骨盆静脉广泛血栓形成，包括下腔静脉肾下段，伴有下肢明显的血栓后状况及威胁生命的肺栓塞。作者探讨了因意外导致功能受限的专家问题。对于下腔静脉血栓形成时的侧支静脉循环，有几种辅助途径可供利用，其中腹壁浅侧支静脉在诊断上具有较高价值，然而在血流动力学方面，其重要性不大。在下腔静脉区域的部分血栓形成时，由于良好的代偿可能性，临床上可能不会出现明显的侧支循环，这在血栓形成的术后并发症中症状轻微即可得到证明。
