自发性上肢深静脉血栓形成5例的临床特点

Clinical characteristics of spontaneous deep venous thrombosis of upper limbs(a report of 5 Cases).

目的 探讨自发性上肢静脉血栓形成 (SDVTUL)临床特点和可能发病机制。方法 对 5例SDVTUL患者进行回顾性分析。结果 SDVTUL有以下特点 :①中老年好发且以左上肢多见。②临床上均缺乏导致血栓形成的全身和局部性因素。③ 2例患者上肢血管多普勒检查结果阴性 ,最后通过上肢静脉造影确诊。④抗凝治疗效果好 ,预后佳。结论 SDVTUL可在无明显诱发因素的情况下发生 ,静脉造影术仍是确诊该病的“金标准”

Objective To investigate the clinical characteristics of spontaneous deep venous thrombosis of upper limbs(SDVTUL)and its possible mechanism.Methods The clinical data of 5 cases with SDVTUL were analyzed retrospectively.Results The manifestations of SDVTUL were be as follows:middle-and old-aged people might be easily attacked.It also occured more frequently in left upper limb than in right one without typical factors leading to deep venous thrombosis.3 of 5 cases were checked by ultrasonic vascular examination without positive results and diagnosed definitely by venous angiography,while the other two cases whose ultrasonic vascular examination were negative results were proved to be SDVTUL by venous angiography.Anticoagulant was effective in all cases of this group.Conclusion SDVTUL can occur without any obvious risk factor,angiography is still its'golden standard'for definite diagnosis.