Upper Extremity Deep Vein Thrombosis: A Case Report and Literature Review

上肢深部靜脈血栓症：一病例報告及文獻回顧

黃英傑(Ying C. Huang) ； 甘宗本(Chung-Ben Kan) ； 梁恒(Joseph H. Leung)

《中華民國急救加護醫學會雜誌》 16卷2期 (2005/06) Pp. 61-66

https://doi.org/10.30018/JECCM.200506.0003

摘要

上肢深部靜脈血栓症雖然比下肢深部靜脈血栓症少見，然而因為較常合併肺栓塞及潛在的惡性腫瘤加重了病情甚至死亡率，使其在臨床上獲得與日俱增的重視，在此我們報導了一位59歲男性，他因為左上肢顯著腫脹而前來就診。經過檢查，上肢深部靜脈血栓被確定診斷，並在經過治療後獲得進步且未遭遇併發症。上肢深部靜脈血栓昔日雖然少見，這些年來隨著醫學的進步，人類活得更久，臨床上實施中心靜脈導管檢查與治療也越來越頻繁，使得發生的機率也越來越多。對於此類患者，臨床醫師唯有熟悉此疾病，才能提供即時的診斷與正確的治療。

關鍵字

深部靜脈血栓症 ； 上肢 ； 肺栓塞

並列摘要

Upper extremity deep vein thrombosis (UEDVT), though less common than the corresponding disease of the lower extremity, is an important clinical entity because of its potential for higher morbidity and even mortality from pulmonary embolism and occult malignancy. Herein we report on a 59-year-old man who presented with significant swelling of the left upper extremity. UEDVT was diagnosed and treated without significant complications. Although UEDVT is rare, it has become more common over the past several decades because of the increasing use of central venous catheterization and increased life expectancy resulting from medical improvements. Physicians are therefore required to understand this illness to provide a timely diagnosis and adequate treatments.

並列關鍵字

deep vein thrombosis ； upper extremity ； pulmonary embolism