一个由静脉血液采样引起的带网络综合征病例
Hironori Kitajima1, Toru Ichiseki1, Ayumi Kaneuji1
1Department of Orthopedic Surgery, Kanazawa Medical University, Kahoku 920-0293, Japan.
Healthcare (Basel, Switzerland)
|September 9, 2023
概括
轴心网综合征 (AWS) 是一种导致疼痛和肩膀运动受限的疾病,可能发生在轻微的手术后,如静脉血液采样,而不仅仅是手术. 早期识别物理发现对于诊断至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 轴心网综合征 (AWS) 通常是在乳腺癌手术或淋巴结活检之后出现的.
- 它呈现为带状结构,引起疼痛和限制肩部运动.
- 目前尚不清楚AWS的确切原因,但与淋巴流动中断有关.
研究的目的:
- 在静脉血液采样后报告AWS的新病例.
- 强调在诊断AWS时进行彻底的体检的重要性.
- 为了说明在AWS中超声波的诊断实用性.
主要方法:
- 一个31岁的男性被诊断出患有AWS的病例报告.
- 临床检查,包括触摸下.
- 部的超声波 (US) 检查,以可视化状结构.
主要成果:
- 在例行静脉血液采集后,AWS在患者身上发展.
- 通过超声波识别出一种低质的,类似绳索的结构,从部延伸.
- 结构与静脉穿刺部位和肩膀运动有限的症状相关.
结论:
- 静脉血液采样可能是状网综合征的罕见原因.
- 进行全面的身体评估,包括超越主要投诉区域的检查,至关重要.
- 超声波通过可视化受影响的结构来帮助诊断AWS.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
376
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
376
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
14
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
14
Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14
Venous Thrombosis I: Introduction
12
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
12
Veins of Upper Limbs
1.1K
The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
1.1K
Veins of Thorax
900
The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
900


