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[假性血栓性静脉炎综合征:2例病例的诊断与治疗思考]

[Pseudo-thrombophlebitis syndrome: diagnostic and therapeutic considerations of 2 cases].

作者信息

Pastor Rubín de Celis E, Moro Alvarez M J, López Cubero L, Cabello Rodríguez A, Franco López M A, Pacho Jiménez E

机构信息

Servicio de Medicina Interna, Fundación Jiménez Díaz, Madrid.

出版信息

Rev Clin Esp. 1993 May;192(9):431-2.

PMID:8516508
Abstract

Pseudo-thrombophlebitic syndrome is a frequent clinical entity but many times insufficiently diagnosed. Described more than a century ago by Baker it is characterized for being clinically undistinguishable from a true thrombophlebitis, being its cause the presence of a synovial cyst in the knee joint (Baker's cyst) which can be complicated or not (breakage or dissection). Diagnosis is easy and is based mainly in echography and arthrography. The anticoagulant therapy used in true thrombophlebitis is contraindicated in this syndrome.

摘要

假性血栓性静脉炎综合征是一种常见的临床病症,但很多时候诊断不足。一个多世纪前由贝克描述,其特点是在临床上与真正的血栓性静脉炎无法区分,其病因是膝关节存在滑膜囊肿(贝克囊肿),该囊肿可能并发或不并发(破裂或剥离)。诊断很容易,主要基于超声检查和关节造影。真正的血栓性静脉炎所使用的抗凝疗法在该综合征中是禁忌的。

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