Üst Ektremitelerin Akut Primer Derin Ven Trombozu
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
Supporting Institution
Ankara University Faculty of Medicine, Department of General Surgery, History of Medicine and Deontology
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