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与重复下腔静脉相关的静脉血栓症:一个病例报告和系统审查
Chun Chen1, Di-Sheng Huang2, Kuo-Song Chang3,4
1Division of Disaster Medicine, Emergency Department, Mackay Memorial Hospital, Taipei Taiwan.
Medicine
|February 28, 2025
概括
重复下静脉 (DIVC) 是一种罕见的异常,可能导致深静脉血栓塞 (DVT). 本案例报告强调了使用抗凝血剂和血栓溶解治疗DIVC患者的DVT成功治疗.
科学领域:
- 血管外科 血管外科
- 放射学 放射学是一门学科.
- 血液学 血液学 血液学
背景情况:
- 深静脉血栓 (DVT) 是一个常见的临床表现,重复下静脉 (DIVC) 是一种罕见的易感异常.
- DIVC是一种罕见的先天性血管变异,显著增加了DVT的风险,特别是在年轻人中.
- DIVC的发病率在0.3%至0.7%之间,男性占主导地位.
研究的目的:
- 在患有重复下腔静脉 (DIVC) 的患者中呈现深静脉血栓症 (DVT).
- 审查与DIVC相关的DVT的当前文献,包括患者人口统计,治疗方式和结果.
- 强调DIVC是DVT的关键风险因素,需要及时诊断和管理.
主要方法:
- 一名52岁的男性出现单边腿部胀,并通过计算机断层扫描血管学诊断出DVT,揭示了DIVC.
- 实验室调查显示D-二聚合物和C-反应蛋白水平升高.
- 治疗包括使用埃诺沙巴林的抗凝剂,然后进行导管导向的血栓溶解和血栓切除术.
主要成果:
- 患者的腿部胀和症状在血栓溶解和血栓切除术后得到缓解.
- 出院药物包括里瓦罗克萨班,用于持续抗凝剂.
- 对29例病例的系统审查表明,72.4%的患者接受了抗凝剂,69.0%的患者接受了IVC过器安置,24.1%的患者接受了导管血栓溶解.
结论:
- DIVC是DVT的重要风险因素,特别是在年轻人群中.
- 在DIVC的背景下,对DVT的治疗策略可能包括抗凝药,IVC过器放置和血栓治疗.
- 与审查的队列中的男性相比,女性表现出较高的小腿和尾静脉血栓发生率.
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