这些部不撒谎:一个患有下静脉卡瓦异常的青少年的深静脉血栓
1Division of Emergency Medicine, Children's National Hospital, Washington, DC.
Pediatric emergency care
|March 13, 2025
概括
在青少年中,先天性下静脉腔异常会导致深静脉血栓形成. 一名年轻运动员的部疼痛显示出由中断的下腔静脉引起的广泛血栓形成,成功地用血栓溶解和抗凝药治疗.
科学领域:
- 血管外科 血管外科
- 儿童心脏病学 儿童心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 下腔静脉 (IVC) 的先天性异常很少见,但可以增加静脉血栓栓塞的风险,特别是在年轻人群中.
- 青少年的深静脉血栓 (DVT) 不常见,通常与获得的风险因素有关,使先天性原因成为诊断挑战.
研究的目的:
- 报告一个严重的深静脉血栓塞的案例,在一个青少年的次要中断下腔静脉中断.
- 突出考虑先天性IVC异常在儿科患者无法解释的DVT的差异诊断的重要性.
主要方法:
- 一名13岁的男孩在体育受伤后出现了急性左关节疼痛.
- 诊断成像显示了广泛的深静脉血栓形成.
- 遗传和解剖学研究确定了中断的下腔静脉作为潜在原因.
主要成果:
- 这名患者被诊断为患有广泛的深静脉血栓,原因是下静脉中断.
- 治疗包括导管导向血栓溶解以溶解血块和抗凝治疗以防止复发.
- 部疼痛的症状在干预后完全消失.
结论:
- 一个中断的下腔静脉可以在青少年中潜伏地出现,在轻微的创伤后表现为深静脉血栓形成.
- 早期诊断和适当的治疗,包括血栓溶解和抗凝药,对于与IVC异常相关的儿科DVT的良好结果至关重要.
相关概念视频
Veins of the Abdomen and Pelvis
414
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
414
Overview of Systemic Veins
409
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
409
Veins of Thorax
533
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...
533
Veins of Lower Limbs
510
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
510
Overview of Systemic Arteries
753
The human body is a complex, well-organized machine, and at the heart of its operations lies the circulatory system. This network of blood vessels, which includes systemic arteries, plays a vital role in maintaining life by transporting nutrients, oxygen, and waste products to and from cells throughout the body.
Systemic circulation is the part of the cardiovascular system that carries oxygenated blood away from the heart to the body's tissues and returns deoxygenated blood back to the...
Systemic circulation is the part of the cardiovascular system that carries oxygenated blood away from the heart to the body's tissues and returns deoxygenated blood back to the...
753
Venous Return
2.5K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
2.5K


