骨折后迅速发病的静脉血栓:一个病例报告
Caiquan Long1, Zizhen Xie2, Weili Luo3
1Department of Ultrasound, Jiangnan Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
The American journal of case reports
|August 31, 2025
概括
在膝盖受伤后7.5小时内发生急性血栓形成, 对于高风险的骨科创伤患者来说,早期的血管监测至关重要,以检测过敏的血栓形成.
科学领域:
- 骨科创伤
- 血管外科
- 紧急医疗
背景情况:
- 传统的理解表明静脉血栓发生在创伤后的几天.
- 这个案例挑战了这一范式,
研究的目的:
- 在骨科创伤后出现异常快速的静脉血栓.
- 突出需要重新评估高风险患者当前的血栓预防方案.
主要方法:
- 一个43岁的男性的病例报告.
- 使用压缩超声波和连续多普勒超声波监控.
- 对疑似静脉血栓栓塞的D-二元水平进行监测.
主要成果:
- 在骨折后7.5小时内在足底静脉中形成自由浮动的血栓.
- 升高的D-二聚合物水平 (9. 39 mg/ l) 表示隐性静脉血栓塞栓症.
- 没有通过压缩超声波检测到初始深静脉血栓.
结论:
- 靠近骨骨折后,静脉血栓可能会超急性发展 (在7.5小时内).
- 早期和频繁的血管监测对于高风险的创伤患者至关重要.
- 对于某些高危人群,传统的24小时血栓预防可能不足.
相关概念视频
Venous Thrombosis I: Introduction
40
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...
40
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
34
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...
34
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Venous Thrombosis IV: Nursing Management
22
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,...
22
Fractures: Bone Repair
3.7K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.7K
Pulmonary Embolism III: Nursing Management
37
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
37


