Kröger K, Gocke C, Schelo C, Hinrichs A, Rudofsky G
Department of Angiology, Klinikum Essen, Germany.
Angiology. 1998 Mar;49(3):189-91. doi: 10.1177/000331979804900304.
In case of clinical symptoms of subclavian vein thrombosis a phlebographic or color Doppler sonographic investigation should be performed. Phlebography is a sensitive method to exclude the thrombosis in the subclavian vein but not in the jugular vein. Color Doppler sonography additionally gives information about the surrounding tissue and the jugular vein. The authors analyze their color Doppler sonographic data, first, to evaluate the association of internal jugular and subclavian vein thrombosis and, second, to demonstrate the necessity for a color Doppler investigation. Of 213 patients who suffered from a thrombosis, 93 had a subclavian vein thrombosis, 64 had a combined thrombosis in the internal jugular and subclavian vein, and 56 had an isolated internal jugular vein thrombosis. There is a high association between subclavian and internal jugular vein thrombosis, and a color Doppler investigation of both the subclavian and internal jugular veins is necessary.
如果出现锁骨下静脉血栓形成的临床症状，应进行静脉造影或彩色多普勒超声检查。静脉造影是排除锁骨下静脉血栓形成的敏感方法，但不适用于颈静脉。彩色多普勒超声还可提供有关周围组织和颈静脉的信息。作者首先分析他们的彩色多普勒超声数据，以评估颈内静脉和锁骨下静脉血栓形成的相关性，其次是证明彩色多普勒检查的必要性。在213例患有血栓形成的患者中，93例有锁骨下静脉血栓形成，64例有颈内静脉和锁骨下静脉联合血栓形成，56例有孤立的颈内静脉血栓形成。锁骨下静脉和颈内静脉血栓形成之间存在高度相关性，对锁骨下静脉和颈内静脉进行彩色多普勒检查是必要的。
