双侧经导管接触性溶栓并导管吸栓治疗滤器置入后双髂静脉血栓形成1例

Chinese Journal of Vascular Surgery(Electronic Version)(2021)

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Abstract
患者,男性,58岁,因"右下肢血管迂曲扩张30余年,右小腿内侧皮肤红肿疼痛2周,加重2h"于2020年3月22日收入本院血管外科.患者既往无特殊,查体示右下肢较左侧稍增粗,右小腿皮肤张力正常,沿大隐静脉走行可见浅表静脉迂曲扩张明显,右小腿下1/3 以远广泛色素沉着,右下肢沿大隐静脉走行可触及条索状硬结,范围40 cm×4 cm,压痛明显,Trendelenburg试验阳性,腓肠肌挤压试验阴性,腓肠肌牵拉试验阴性.初步诊断为右下肢静脉功能不全,右下肢血栓性浅静脉炎.
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