诊断和治疗静脉胸腔输出综合征:一个青少年的经验和观点
1Marymount School of New York, NY, USA.
Journal of patient experience
|October 3, 2025
概括
在青少年中诊断静脉胸部出口综合征 (vTOS) 是具有挑战性的,往往导致治疗延迟. 早期意识和诊断对于有效的干预和预防静脉阻塞等长期并发症至关重要.
科学领域:
- 血管外科 血管外科
- 儿科医学 儿科医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 静脉胸部出口综合征 (vTOS) 是一种罕见的疾病,可能导致显著的发病率.
- 青少年的诊断特别具有挑战性,原因是不典型的表现和医生有限的认识.
- 延迟诊断可能会导致严重的并发症,包括永久性静脉封闭.
研究的目的:
- 为了突出青少年患者中vTOS的诊断挑战.
- 强调医疗保健专业人员提高早期诊断和治疗意识的重要性.
- 要强调延迟诊断对患者结果和心理健康的影响.
主要方法:
- 一个17岁的女性被诊断出患有vTOS的案例报告.
- 诊断过程的描述,包括最初的误解和诊断延迟.
- 对vTOS的诊断标准和成像方法的审查.
主要成果:
- 诊断延迟了7个月,原因包括医生对vTOS不熟悉,忽视了症状 (发烧和胀),以及不适当的初步调查.
- 患者最终接受了第一个肋骨切除和静脉造影,以获得最终的治疗.
- 该案例说明了改善儿童群体中vTOS诊断途径的迫切需要.
结论:
- 在儿科医生,骨科医生和血管外科医生中提高对vTOS的认识对于及时诊断至关重要.
- 早期诊断和干预可以防止严重的并发症,如不可逆转的静脉血栓形成.
- 简化vTOS的诊断过程可以减少患者的痛苦并改善治疗结果.
相关概念视频
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
289
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...
289
Varicose Veins II: Diagnostic Studies and Interprofessional Care
186
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
186
Venous Thrombosis III: Interprofessional Care
280
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...
280
Venous Thrombosis IV: Nursing Management
196
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,...
196
Assessment of the Cardiovascular System III: Palpation
1.0K
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...
1.0K
Veins of Head and Neck
5.2K
The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
On the other hand, the vertebral veins, unlike their arterial counterparts, are not primarily responsible for brain drainage. Instead, they drain the cervical vertebrae, spinal cord, and some small...
5.2K


