Jörger U, Ludwig M M, Vahlensieck M, Stumpe K O
Medizinische Universit-ats-Poliklinik Bonn, Wilhelmstr. 35-37, Bonn D-53111, Germany.
Eur J Med Res. 1996 Apr 18;1(7):334-8.
We report on a 38-year-old patient with intermittent edema of the lower legs, arms and abdominal wall. The cause for his tendency to develop edema was a membranous obstruction of the inferior vena cava and a membranous stenosis of the superior vena cava. The etiology of these anomalies of the vena cava suggests a congenital malformation. In consideration of the cases of inferior and/or superior vena cava-anomalies published to date the patient received an anticoagulant therapy (coumarin) and treatment with graduated compression stockings. He now complains from time to time of a sensation tension in the lower legs after prolonged standing or sitting. Edema of the upper and lower extremities and the abdominal wall have disappeared.
我们报告一例38岁男性患者，其小腿、手臂及腹壁出现间歇性水肿。其水肿倾向的病因是下腔静脉膜性梗阻及上腔静脉膜性狭窄。这些腔静脉异常的病因提示为先天性畸形。鉴于目前已发表的下腔静脉和/或上腔静脉异常病例，该患者接受了抗凝治疗（香豆素）并使用了分级压力弹力袜。他现在偶尔会抱怨长时间站立或坐立后小腿有紧绷感。上肢、下肢及腹壁的水肿已消失。
