表现为血管舒缩性面部潮红的上腔静脉血栓形成
[Superior vena cava thrombosis manifesting as vasomotor facial flushes].
作者信息
Soufir N, Descamps V, Chemlal K, Crickx B, Carbon C, Belaich S
机构信息
Service de Dermatologie, Hôpital Bichat Claude Bernard, Paris.
出版信息
Ann Dermatol Venereol. 1998 Mar;125(3):191-2.
BACKGROUND
The first sign in the reported case of superior vena cava thrombosis secondary to a pacemaker lead, was exceptional: facial flush.
CASE REPORT
A 52-year-old woman had a pacemaker for 10 years for rhythm disorders. She developed facial flush triggered by exercise and anteflexion. The clinical examination revealed collateral thoracic circulation, suggesting thrombosis of the superior vena cava which was confirmed by the angiocavogram.
DISCUSSION
Vasomotor flush is an uncommon and misleading initial sign of superior vena cava thrombosis. Induction by exercise and anteflexion is characteristic. Due to the increasing number of implanted patients, clinicians should be aware that pacemaker leads are an uncommon cause of superior vena cava thrombosis.
背景
在报道的因起搏器导线导致上腔静脉血栓形成的病例中，首个症状不同寻常：面部潮红。
病例报告
一名52岁女性因节律紊乱植入起搏器10年。她在运动和前屈时出现面部潮红。临床检查发现胸壁侧支循环，提示上腔静脉血栓形成，血管造影证实了这一点。
讨论
血管舒缩性潮红是上腔静脉血栓形成罕见且具有误导性的初始症状。运动和前屈诱发是其特征。由于植入起搏器的患者数量不断增加，临床医生应意识到起搏器导线是上腔静脉血栓形成的罕见原因。
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