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Abstract：
Paget-Schroetter syndrome (PSS) is relatively rare condition of thoracic outlet syndrome characterized by thrombosis or blood clot formation in the subclavian vein. Due to the non-specific symptoms and low incidence rate, PSS is frequently missed by medical professionals, and as such it often leads to wrong diagnosis and untreated patients. We present the case of a 30-year-old CrossFit trainer who developed a thrombosis of the subclavian vein. Initially, the patient consulted an internist after experiencing swelling in the right shoulder region and discoloration of the right upper extremity. Angiography revealed occlusion of the subclavian vein and anticoagulant therapy was prescribed. For more than a year, the patient\'s symptoms remained unchanged, and the subclavian vein occlusion persisted. Venography suspected effort thrombosis of the subclavian vein. The patient underwent surgery for decompression of the subclavian vein. After six months, results from post-operative computed tomography angiography showed that venous flow was fully restored and no pathology of the venous vessel wall could be demonstrated. This report aims to increase awareness of PSS among medical professionals, leading to earlier diagnosis and adequate clinical-surgical management.
摘要：
Paget-Schroetter综合征（PSS）是相对罕见的胸廓出口综合征，其特征是锁骨下静脉血栓形成或血凝块形成。由于非特异性症状和低发病率,PSS经常被医疗专业人员错过，因此，它经常导致错误的诊断和未经治疗的患者。我们介绍了一名30岁的CrossFit培训师的情况，他发生了锁骨下静脉血栓形成。最初，患者在右肩区肿胀和右上肢变色后咨询了内科医生。血管造影显示锁骨下静脉闭塞，并规定了抗凝治疗。一年多了,病人的症状保持不变，锁骨下静脉阻塞持续存在。静脉造影怀疑锁骨下静脉努力血栓形成。患者接受了锁骨下静脉减压手术。六个月后,术后计算机断层扫描血管造影结果显示,静脉血流完全恢复,未发现静脉血管壁病变.本报告旨在提高医疗专业人员对PSS的认识，导致早期诊断和适当的临床手术管理。
