Thrombophlebitis

血栓性静脉炎
  • 文章类型: Journal Article
    足底静脉血栓形成(PVT)是一种未被诊断的疾病,影响足底深静脉,具有挑战性的临床诊断,通常表现为模仿其他足部病理的非特异性症状。这项研究评估了诊断为PVT的患者的磁共振成像(MRI)特征,以有助于了解这种情况。我们对大量数据集进行了综合分析,包括112名患者,共130次MRI阳性扫描(前足86次,踝关节44次),显示PVT。在评估了脚的所有静脉后,我们观察到足底外侧静脉(53.1%)的受累频率高于内侧静脉(3.8%)。前足受影响最大的血管段是足底跖骨静脉(45.4%),足底静脉弓(38.5%),足底交通静脉(25.4%)。MRI特征性表现为血管周围水肿(100%),肌肉水肿(86.2%),静脉扩张(100%),血管周围增强(100%),和静脉充盈缺陷(97.7%)。我们的研究为PVT的影像学评估提供了有价值的见解,并表明MRI是此类诊断的可靠资源。
    Plantar vein thrombosis (PVT) is an underdiagnosed condition affecting the deep plantar veins, with challenging clinical diagnosis, often presenting with non-specific symptoms that mimic other foot pathologies. This study assessed the magnetic resonance imaging (MRI) features of patients diagnosed with PVT to contribute to the understanding of this condition. We performed the comprehensive analysis of a substantial dataset, including 112 patients, with a total of 130 positive MRI scans (86 of the forefoot and 44 of the ankle) presenting with PVT. Upon evaluating all the veins of the feet, we observed a higher frequency of involvement of the lateral plantar veins (53.1%) when compared to the medial veins (3.8%). The most affected vascular segments in the forefeet were the plantar metatarsal veins (45.4%), the plantar venous arch (38.5%), and the plantar communicating veins (25.4%). The characteristic findings on MRI were perivascular edema (100%), muscular edema (86.2%), venous ectasia (100%), perivascular enhancement (100%), and intravenous filling defects (97.7%). Our study provides valuable insights into the imaging evaluation of PVT and shows that MRI is a reliable resource for such diagnosis.
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  • 文章类型: Case Reports
    Lemierre综合征是一种罕见的口咽部感染并发症,可导致颈内静脉化脓性血栓性静脉炎。自从COVID-19大流行爆发以来,这种情况被危险地忽视了,当血管病变复杂化时,这种情况会带来更大的威胁。出现了一例患者由于Lemierre综合征而需要紧急血管内排除右颈内动脉假性动脉瘤的病例。治疗包括支架植入术和颈部脓肿引流,以及住院期间适当的抗生素治疗。认识到这种诊断需要高度怀疑,特别是在COVID-19大流行期间。疾病的复杂性需要广泛的多学科合作才能有效治疗。
    Lemierre syndrome is a rare complication of oropharyngeal infection that causes septic thrombophlebitis in the internal jugular vein. Since the onset of the COVID-19 pandemic, this condition has been dangerously overlooked and poses an even greater threat when complicated by vascular pathologies. A case is presented where the patient required emergency endovascular exclusion of a right internal carotid artery pseudoaneurysm due to Lemierre syndrome. The treatment included stent graft placement and drainage of a neck abscess, along with appropriate antibiotic treatment during hospitalization. Recognizing this diagnosis requires a high index of suspicion, particularly during the COVID-19 pandemic. The complexity of the disease necessitates extensive multidisciplinary collaboration for effective treatment.
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  • 文章类型: Journal Article
    阴茎Mondor病(PMD)是一种罕见的综合征,其特征是阴茎浅静脉的浅表血栓性静脉炎后硬化。PMD最常见的外观是招标,明显的,痛苦,有时在阴茎背面可见的绳索。其发病机制尚不清楚,标准化治疗尚未建立。
    一名54岁男性患者出现左侧间接复位腹股沟疝。患者接受Lichtenstein腹股沟疝修补术。术后第十天,他返回时,经多普勒超声检查证实为PMD。每天用4000UI低分子量肝素(LMWH)治疗三周,缓解了症状,但轻微的静脉扩张只是阴茎的近端部分仍然存在。
    PMD的确切原因尚不清楚,但是各种研究已经确定了与这种疾病风险增加相关的某些因素。在各种可能引发PMD的潜在因素中,腹股沟疝的修复仅有一次报道。治疗可能涉及疼痛管理,抗炎药,抗凝剂,and,在某些情况下,手术。
    开放式疝修补术后的PMD是一种非常罕见的良性疾病。正确的诊断和及时的治疗可以缓解症状。残余静脉扩张除了外观外观外没有临床意义。
    UNASSIGNED: Penile Mondor\'s disease (PMD) is a rare syndrome characterized by sclerosis after superficial thrombophlebitis of the superficial penile veins. The most usual appearance of PMD is a tender, palpable, painful, and sometimes visible cord on the dorsal surface of the penis. Its pathogenesis is still unclear, and a standardized treatment has not been established.
    UNASSIGNED: A 54-year-old male patient presented with a left-sided indirect reducible inguinal hernia. The patient underwent Lichtenstein\'s procedure for inguinal hernia repair. On the tenth postoperative day, he returned with PMD confirmed by Doppler ultrasonography examination. Treatment with 4000 UI low molecular weight heparin (LMWH) daily for three weeks resolved the symptoms, but mild venous ectasia just to the proximal part of the penis remained.
    UNASSIGNED: The exact cause of PMD is not well understood, but various studies have identified certain factors associated with an increased risk of the condition. Out of various potential factors that could trigger PMD, the repair of an inguinal hernia has been reported only once. Treatment may involve pain management, anti-inflammatory medications, anticoagulants, and, in some cases, surgery.
    UNASSIGNED: PMD after open hernia repair surgery is a very rare benign condition. Correct diagnosis and prompt treatment allowed symptom resolution. Residual venous ectasia has no clinical significance other than a cosmetic appearance.
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  • 文章类型: Case Reports
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  • 文章类型: Case Reports
    本文报道一例女性患者入院,右前臂肿胀和皮下肿块,最初怀疑是多发性神经纤维瘤。然而,通过术前成像和手术,最终诊断为浅表血栓性静脉炎。这种情况导致radial神经分支陷入,导致明显的神经卡压和放射疼痛。手术包括切除炎症组织和血栓,头静脉结扎,并完全释放桡神经分支.术后病理证实为表浅血栓性静脉炎。通过这个案子,我们强调综合利用临床的重要性,成像,和手术干预,以获得更准确的诊断和治疗。这是由于浅表血栓性静脉炎引起的radial神经分支卡压的首次临床报告。
    This article reports a case of a female patient admitted with swelling and subcutaneous mass in the right forearm, initially suspected to be multiple nerve fibroma. However, through preoperative imaging and surgery, the final diagnosis confirmed superficial thrombophlebitis. This condition resulted in entrapment of the radial nerve branch, leading to noticeable nerve entrapment and radiating pain. The surgery involved the excision of inflammatory tissue and thrombus, ligation of the cephalic vein, and complete release of the radial nerve branch. Postoperative pathology confirmed the presence of Superficial Thrombophlebitis. Through this case, we emphasize the importance of comprehensive utilization of clinical, imaging, and surgical interventions for more accurate diagnosis and treatment. This is the first clinical report of radial nerve branch entrapment due to superficial thrombophlebitis.
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  • 文章类型: Journal Article
    接触某些化学物质会导致心血管疾病。化学品的职业暴露是心血管疾病的可改变的危险因素。这项研究的目的是确定具有职业暴露的行业中的心血管疾病。
    研究是一种横断面方法,是针对相关行业的工人进行的。这项研究是通过体检和清单进行的,方法是获得健康和疾病史以及有关危险因素和心血管疾病的临床测试。根据暴露情况,研究人群分为3组。用SPSS16分析数据,认为p<0.05是显著的。
    第1组不稳定型心绞痛和稳定型心绞痛的发生频率最高。第1组中不稳定型心绞痛的相对风险为1.55(1.46-1.61),该组中稳定型心绞痛的相对风险为1.54(1.47-1.62)。第2组发生血栓性静脉炎的风险为8.48(7.07-10.17)。
    从事化学污染物行业的工人患有心血管疾病。职业暴露,尤其是化学试剂对心血管系统有效。
    UNASSIGNED: Exposure with some chemical can cause cardiovascular disorders. Occupational exposures with chemicals are modifiable risk factors for cardiovascular diseases. The Objective of this study was the determination of cardiovascular disorders in industries with occupational exposures.
    UNASSIGNED: Study was a cross-sectional method and was done on workers of related industries. The study was done with a physical examination and checklist by getting health and illness history and clinical tests about the risk factors and cardiovascular disorders. According to exposures the population of the study was divided into 3 groups. Data were analyzed with SPSS 16, by considering p < 0.05 as significant.
    UNASSIGNED: The frequency of unstable angina and stable angina were the most in group 1. The relative risk for unstable angina was 1.55 (1.46-1.61) in group 1 and for stable angina was 1.54 (1.47-1.62) in this group. The risk of thrombophlebitis was 8.48 (7.07-10.17) in group 2.
    UNASSIGNED: Workers in industry with chemical pollutants had cardiovascular disorders. The occupational exposures, especially chemical agents are effective on cardiovascular system.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    目的:确定学生参与静脉导管(IVC)放置是否会增加并发症的风险,并报告在大学教学医院的成年马中与IVC相关的并发症的发生率和类型。
    方法:在394匹马中放置455个IVC。
    方法:从电子病历搜索中检索与IVC放置和移除相关的数据,包括2022年1月1日至12月31日的成年马记录。从记录中检索到的数据包括准备站点并放置IVC的个人的角色,IVC放置部位,和IVC的类型。除临床数据外,还记录了去除IVC的原因以及在去除时静脉内是否存在可检测的变化。允许对每种情况进行分类。数据进行了回顾性审查,并使用混合效应逻辑回归模型进行统计分析。显著性设定为P≤0.05。
    结果:并发症的总发生率为15.6%,最常见的并发症类型是静脉肿胀。学生参与了455个IVC站点准备和安置中的87个,由兽医学生准备或安置的IVC点与非学生人员的并发症发生率无统计学显著差异.
    结论:兽医人员和客户可能会犹豫是否允许学生参与马的IVC安置,但这些数据表明,学生参与不会增加IVC并发症的风险.
    OBJECTIVE: To determine whether student involvement in intravenous catheter (IVC) placement increases the risk for complications and to report the rate and types of complications associated with IVCs in adult horses in a university teaching hospital.
    METHODS: 455 IVCs placed in 394 horses.
    METHODS: Data relevant to IVC placement and removal were retrieved from an electronic medical record search including records of adult horses from January 1 to December 31, 2022. Data retrieved from records included the role of the individual who prepared the site and placed the IVC, site of IVC placement, and type of IVC. The reason for removal of the IVC and presence or absence of detectable changes within the vein at the time of removal were documented in addition to clinical data, allowing for classification of each case. Data were reviewed retrospectively, and statistical analyses were performed using mixed-effects logistic regression models. Significance was set at P ≤ .05.
    RESULTS: The overall rate of complications was 15.6%, and the most common type of complication was swelling of the vein. Students were involved in 87 of 455 IVC site preparations and placements, and there were no statistically significant differences in complication rates between IVC sites prepared or placed by veterinary students versus nonstudent personnel.
    CONCLUSIONS: Veterinary personnel and clients may be hesitant to allow student involvement in IVC placement in horses, but these data suggest that student involvement does not increase the risk of IVC complications.
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  • 文章类型: Case Reports
    静脉炎,这是一种感染性门静脉血栓性静脉炎,是一种罕见且危及生命的并发症,通常发生在阑尾炎后。然而,非特异性腹部不适和发热可阻碍肾静脉炎的诊断。及时使用适当的抗生素和抗凝剂对于治疗这种疾病至关重要。我们介绍了一例由急性非穿孔性阑尾炎引起的静脉炎和感染性休克。一名32岁男子表现为迁徙性右下腹疼痛。血培养物显示存在大肠杆菌。血液检测结果提示胆红素浓度升高和凝血因子异常。计算机断层扫描腹部扫描显示门静脉的固有直径变宽。经过抗生素的重症监护治疗,抗休克治疗,抗凝剂,和其他支持性治疗,对感染进行了监测,腹痛消失了,黄疸消退了.进行腹腔镜阑尾切除术。组织病理学显示急性化脓性阑尾炎,出院后随访期间未见异常。在阑尾炎引起的门静脉炎存在的情况下,多学科方法对于决策过程是强制性的,以获得正确的诊断和及时的治疗。同样,阑尾切除术的时机对于减少术中和术后并发症非常重要.
    Pylephlebitis, which is a type of septic thrombophlebitis of the portal vein, is a rare and life-threatening complication that commonly occurs following appendicitis. However, nonspecific abdominal complaints and fever can impede the diagnosis of pylephlebitis. Timely use of appropriate antibiotics and anticoagulants is paramount for treating this condition. We present a case of pylephlebitis and septic shock caused by acute nonperforated appendicitis. A 32-year-old man presented with migratory right lower abdominal pain. Blood cultures showed the presence of Escherichia coli. Blood test results showed increased bilirubin concentrations and coagulation factor abnormalities. A computed tomographic abdominal scan showed that the portal vein had a widened intrinsic diameter. After intensive care treatment with antibiotics, antishock therapy, anticoagulants, and other supportive treatments, the infection was monitored, the abdominal pain disappeared, and the jaundice subsided. Laparoscopic appendectomy was performed. Histopathology showed acute suppurative appendicitis, and no abnormalities were observed during the follow-up period after discharge. A multidisciplinary approach is mandatory for the decision-making process in the presence of pylephlebitis caused by appendicitis to obtain a correct diagnosis and prompt treatment. Similarly, the timing of appendectomy is important for minimizing intra- and postoperative complications.
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  • 文章类型: Case Reports
    乳房疼痛是初级保健诊所妇女普遍关心的问题。乳房疼痛的一个罕见原因是Mondor病(MD),它可以表现为急性,痛苦,红斑,在乳房或前胸壁上的索状硬化。该疾病是由前外侧胸腹壁静脉的硬化性浅表血栓性静脉炎引起的。这种情况似乎没有种族或族裔倾向;然而,重要的是要明白,它可能更难以看到在较深的皮肤类型(Fitzpatrick皮肤类型IV-VI),并需要密切关注的身体检查。MD的病因尚不清楚,但可能与直接创伤有关,剧烈运动,或激素变化。我们回顾了一例54岁的女性,该女性表现为胸壁前可触及的脐带,通过足够的照明和皮肤牵引,更好地可视化,最终根据临床发现和影像学检查诊断为MD。Mondor病通常在支持性治疗下自发消退,就像这个病人的情况一样;然而,临床医生应该意识到这种罕见的乳房疼痛原因及其与高凝状态的关联,血管炎,和乳腺癌。
    Breast pain is a common concern among women in primary care clinics. A rare cause of breast pain is Mondor\'s disease (MD), which can present as an acute, painful, erythematous, cord-like induration on the breast or anterior chest wall. The disorder is caused by sclerosing superficial thrombophlebitis of the anterolateral thoracoabdominal wall veins. There does not appear to be a racial or ethnic propensity for this condition; however, it is important to understand that it may be more difficult to see in darker skin types (Fitzpatrick skin types IV-VI) and requires close attention on physical exam. The cause of MD is poorly understood but may be related to direct trauma, strenuous exercise, or hormone changes. We review a case of a 54-year-old woman who presented with an anterior chest wall palpable cord, better visualized with adequate lighting and skin traction, ultimately diagnosed as MD based on clinical findings and imaging studies. Mondor\'s disease often resolves spontaneously with supportive care, as in this patient\'s case; however, clinicians should be aware of this rare cause of breast pain and its association with hypercoagulable state, vasculitis, and breast cancer.
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