右侧阴道静脉压缩综合征:当静脉在内外阴道动脉之间被压缩时 - 一个病例报告
Tetsuo Yamanaka1, Tatsuhiko Ishihara2, Toru Hara1
1Department of Cardiology, Tokyo Teishin Hospital, 2-14-23 Fujimi, Chiyoda-ku, Tokyo 102-8798, Japan.
European heart journal. Case reports
|January 19, 2024
概括
右侧阴道静脉压缩综合征 (RIVCS) 是罕见的. 8个月的抗凝剂保守治疗在RIVCS患者中被证明是有效的,这表明了这种情况的可行的治疗选择.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 右侧阴道静脉压缩综合征 (RIVCS) 是一种罕见的疾病,右侧常见阴道静脉被压缩.
- 对RIVCS治疗的有效性仍未得到充分研究.
- 阴道静脉压缩综合征 (IVCS) 通常涉及左侧常见阴道静脉.
研究的目的:
- 报告一种罕见的右侧阴道静脉压缩综合征 (RIVCS) 病例.
- 调查RIVCS保守管理的有效性.
- 突出RIVCS的潜在促成因素和治疗结果.
主要方法:
- 一名51岁的男性患者出现了深静脉血栓和肺栓塞.
- 磁共振血管造影 (MRA) 用于诊断腹腔压缩综合征.
- 治疗包括直接口服抗凝剂和压缩,随访时间为8个月.
主要成果:
- 随着保守的治疗,患者的症状显著改善.
- 在对侧肢中没有发生深静脉血栓,支持右下静脉压缩的影响.
- 八个月的随访显示无事件的临床过程,表明成功管理.
结论:
- 这一案例表明,包括抗凝药在内的保守治疗对RIVCS.可能是有效的.
- 类固醇,长时间坐着和外部压缩可能会导致RIVCS的发展.
- 这是第一个报告的RIVCS病例,该病例在长时间内用抗凝剂进行保守管理.
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