Noma M, Ueno Y, Mizushima A, Sese A, Kikuchi Y
Department of Internal Medicine, Kyushu Kosei-Nenkin Hospital, Kitakyushu, Japan.
Jpn Heart J. 1993 Nov;34(6):809-13. doi: 10.1536/ihj.34.809.
This report describes a 69-year-old Japanese woman with bilateral forearm thrombophlebitis that developed soon after transvenous permanent pacemaker insertion. Intravenous administration of urokinase and heparin rapidly resolved fever, painful forearm swelling and inflammatory findings. Digital subtraction venograms revealed a brachiocephalic vein thrombosis. A ten-month treatment with warfarin and ticlopidine resulted in the complete restoration of venous flow. Although thrombophlebitis associated with transvenous permanent pacemaker insertion has a relatively low incidence (0.3%), prompt diagnosis and treatment with anticoagulant and/or thrombolytic agents are important for the late clinical outcome in cases with deep venous thrombosis.
本报告描述了一名69岁的日本女性，在经静脉植入永久性起搏器后不久出现双侧前臂血栓性静脉炎。静脉注射尿激酶和肝素迅速缓解了发热、前臂疼痛性肿胀及炎症表现。数字减影静脉造影显示头臂静脉血栓形成。华法林和噻氯匹定治疗10个月后静脉血流完全恢复。尽管经静脉植入永久性起搏器相关的血栓性静脉炎发病率相对较低（0.3%），但对于深静脉血栓形成的病例，及时诊断并使用抗凝剂和/或溶栓剂治疗对后期临床结果很重要。
