A*******s
发帖数: 9638 | 1 发信人: Icetea (冰瓜儿), 信区: Medicalpractice
标 题: Re: 【征文活动】 有趣的临床综合症。
发信站: BBS 未名空间站 (Sat Oct 8 15:17:55 2011, 美东)
Paget-Schroetter disease, the one that can get you into malpractice trouble
if you just send those patients home with Lovenox and Coumadin. Untreated
symptomatic patients can sustain long-term disability from venous
obstruction resulting in significant loss of occupational productivity and
quality of life.For the same reason, early catheter directed thrombolysis
followed by anticoagulation and surgical intervention are recommended.
It is also known as Paget-von Schrötter disease or upper extremity deep
vein thrombosis (UEDVT) is a medical condition in which blood clots form in
the deep veins of the arms. It was described by Paget in 1875 and
Schroetter in 1884 independently. These deep vein thromboses typically occur
in the axillary vein or subclavian vein.
The condition is relatively rare. It usually presents in young and otherwise
healthy patients, males more often than females. The syndrome also became
known as “effort-induced thrombosis” in the 1960s as it has been reported
to occur after vigorous activity, though it can also occur spontaneously. It
may develop as a sequelea of thoracic outlet syndrome. | I****a
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