Deep Vein Thrombosis in an Ambulatory Hemiparetic Stroke Patient Probably due to Exercise-Related Repetitive Impact: A Case Report

具移行能力的中風患者在復健過程中可能因反覆撞擊造成深靜脈血栓：病例報告

李坤璋(Kun-Chang Lee) ； 劉建廷(Chien-Ting Liu) ； 王碧瑋(Pi-Wei Wang) ； 蕭安芳(An-fang Hsiao) ； 洪怡珣(Yi-Shiung Horng)

《台灣復健醫學雜誌》 43卷2期 (2015/06) Pp. 121-126

https://doi.org/10.6315/2015.43(2)06

摘要

下肢深靜脈血栓對於中風病人是一種多因素和潛在的致命併發症。下肢反覆撞擊對於深靜脈血栓是相對少見的危險因子。我們報告了一個沒有典型深靜脈血栓危險因子的腦中風偏癱患者，可能由於不當使用坐姿曲腿訓練機造成後膕窩反覆撞擊，進而產生下肢深靜脈血栓。這個案例可以提醒復健科醫師和治療師在訓練的過程當中維持正確姿勢以及避免反覆撞擊的重要性。

關鍵字

深靜脈血栓 ； 反覆撞擊 ； 中風 ； 復健

並列摘要

Deep vein thrombosis (DVT) of the lower extremity is a multifactorial and potentially fatal complication following stroke. However, repetitive impact on the lower extremity is a relatively uncommon risk factor for DVT. We report an ambulatory hemiparetic stroke patient who, without classic DVT risk factors, developed a lower extremity DVT probably due to repetitive impact on the popliteal fossa after the inappropriate use of a seated leg flexion machine. This case can remind physiatrists and therapists of the importance of preventing patients from using non-ergonomic postures during training sessions.

並列關鍵字

deep vein thrombosis ； repetitive impact ； stroke ； rehabilitation

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