Bernier V, Scott A A, Glynn M F
Can Anaesth Soc J. 1981 Nov;28(6):579-84. doi: 10.1007/BF03007156.
A case of subclavian vein thrombosis which was not detected clinically is described. Doppler ultrasound was used to ascertain the diagnosis. The technique of examination with the Doppler method for upper limb thrombi is described. It is expected that this technique will be as valuable for detection of thrombosis in the upper extremities as it has been shown to be in lower extremities. This is important because the incidence of deep vein thrombosis has increased with the frequent use of indwelling central venous catheters and because of increased awareness of the possibility and dangerous sequelae of the thrombosis, Early detection of thrombus by this non-invasive method, with removal of the catheters and prompt heparin therapy can preserve the integrity of the venous conduits and avert emboli. This is particularly relevant for anaesthetists in critical units.
本文描述了一例临床未检测出的锁骨下静脉血栓形成病例。采用多普勒超声进行诊断。文中介绍了用多普勒方法检查上肢血栓的技术。预计该技术在检测上肢血栓方面将与检测下肢血栓一样有价值。这一点很重要，因为随着留置中心静脉导管的频繁使用，深静脉血栓形成的发生率有所增加，也因为人们对血栓形成的可能性及其危险后果的认识有所提高。通过这种非侵入性方法早期检测血栓，拔除导管并及时进行肝素治疗，可保持静脉管道的完整性并避免栓子形成。这对重症监护病房的麻醉医生尤为重要。
