Overstreet D S, Skinner W H, Roy T M
Department of Internal Medicine, University of Louisville School of Medicine, KY 40292.
J Ky Med Assoc. 1993 Feb;91(2):54-7.
Deep vein thrombosis may occur in the axillary or subclavian veins in the upper extremities, sometimes in young patients without the typical risk factors for thrombus development. This unusual clinical situation usually follows strenuous activity and is often referred to as "effort" thrombosis. Since some cases have occurred with mild exertion and there is a lack of obvious predisposing vessel trauma, a more correct term might be "primary" thrombosis. Early recognition of this condition is necessary to prevent potentially fatal acute effects and minimize chronic sequelae.
深静脉血栓形成可能发生在上肢的腋静脉或锁骨下静脉,有时发生在没有典型血栓形成危险因素的年轻患者身上。这种不寻常的临床情况通常发生在剧烈活动之后,常被称为“用力性”血栓形成。由于有些病例发生在轻度用力之后,且缺乏明显的易患血管创伤,一个更准确的术语可能是“原发性”血栓形成。早期识别这种情况对于预防潜在的致命急性后果并将慢性后遗症降至最低是必要的。