Primary Acute Deep Vein Thrombosis Of The Upper Extremity

Year 1974, Volume: 27 Issue: 3-4 , 517 - 532 , 30.12.1974

Altan Tüzüner

https://izlik.org/JA66HY59TZ

Abstract

Ocak 1966 Ağustos 1975 yılları arasında kliniğimizde tromboflebit
tanısı alarak tedavi gören 315 vaka içerisinde 11 üst
ekstremite derin ven trombozu (% 3,46) tesbit edilmiştir. 11 vakadan
2'si kadın, 9'u erkekti. Vakalardan 7'sinde olay solda,
2 vakada sağda, 2 vakada ise bilateraldi. Etyopatogenetik faktör
olarak 7 vakanın aşırı effor sonrası olayın gelişmesi effor
trombozu terimini doğrulamaktadır.
Hastalığın tanısında dikkatli bir anamnez, fizik muayene
yanında, fleborafi yanılgıya yol açmadan kesin tanıya ulaştırır.
Ven trombozu ile birlikte arteriel spasm olabileceği ve akut arter
tıkanması izlenimi verebileceği akılda tutulmalıdır. Hiçbir
vakada üst ekstremite akut derin ven trombozuna bağlı pulmoner
emboli görülmemiştir.
Hastalığın tedavisinde antikoagülan tedavi, yatak istirahati
ve ilgili uzvun kalp seviyesi üstünde elevasyonu başarılı sonuçlar
vermektedir. Tedavide önerilen venöz trombektomi ancak
ilk 48 - 72 saatlik yeni vakalarda başarılı olabilir. Geç vakalarda
trombüsün organize olması işlemi güçleştirmesi yanında, retromboz,
ve pulmoner emboli olasılığını artırır. Bunun yanında
böyle bir işlem ancak tecrübeli hekimler tarafından uygulanmalıdır.

Keywords

Ven , Tromboz , Emboli

Ethical Statement

-

Supporting Institution

Ankara Üniversitesi Tıp Fakültesi Genel Şirürji Tıp Tarihi ve Deontoloji Kürsüsü

Project Number

-

Thanks

-

Üst Ektremitelerin Akut Primer Derin Ven Trombozu

https://izlik.org/JA66HY59TZ

Abstract

Between January and August 1975, 315 trombophlebitis
were diagnosed and treated in our clinic. Among these, 15 cases
of primary acute deep vein thrombosis of the upper extremity
were identified (% 3,46). 2 of the 11 patients were female and 9 men. In these patients thrombosis was on the left in 7, on the right in 2, and bilateral in the other 2 cases. It was found that the onset was expressed after extensive muscle excercise, Which confirms the patogenetic effort trombosis concept (63,6).
Carefull questioning, physical examination and phlebography
can prove the correct diagnosis. One must kept in mind
that arteriel spasm may complicate the clinical picture and may
lead to a false acute arterial obstruction disition. None of this
11 cases showed any signs of pulmonary embolism.
In the treatment of the process, bed rest, anticoagulant
therapy and elevation of the extremity gives succesfull results.
Venous thrombectomy can only be indicated and may give succesfull
results in the first 48 - 79 hours. In late cases because of
the organisation and recanalisation process of the thrombi,
thrombectomy may porvoke pulmonary embolism and rethremhbosis.

Keywords

Vein , Thrombosis , Embolism

Ethical Statement

-

Supporting Institution

Ankara University Faculty of Medicine, Department of General Surgery, History of Medicine and Deontology

Project Number

-

Thanks

-

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