%0 Journal Article
%T 成功介入溶栓治疗胃癌并发上肢深静脉血栓形成一例<br>The Successful Treatment of Thrombosis in Upper Limb Deep
Vein with Thrombolytic Intervention in One Gastric Tumor
Case
%A 任闽山
%A 盖东和
%J Asian Case Reports in Oncology
%P 3-5
%@ 2169-883X
%D 2013
%I Hans Publishing
%R 10.12677/ACRPO.2013.22002
%X <div style=\"text-align:justify;\">
	<span style=\"line-height:1.5;\">病人男性，</span><span style=\"line-height:1.5;\">58</span><span style=\"line-height:1.5;\">岁，因</span><span style=\"line-height:1.5;\">“</span><span style=\"line-height:1.5;\">胃癌化疗后</span><span style=\"line-height:1.5;\">1</span><span style=\"line-height:1.5;\">年半，左上肢肿胀</span><span style=\"line-height:1.5;\">2</span><span style=\"line-height:1.5;\">天</span><span style=\"line-height:1.5;\">”</span><span style=\"line-height:1.5;\">入院。查体：双侧颈部未及肿大淋巴结，左颈部肿胀，左上肢肿胀，左肘上</span><span style=\"line-height:1.5;\">8 cm</span><span style=\"line-height:1.5;\">周径</span><span style=\"line-height:1.5;\">32 cm</span><span style=\"line-height:1.5;\">，左肘下</span><span style=\"line-height:1.5;\">8 cm</span><span style=\"line-height:1.5;\">周径</span><span style=\"line-height:1.5;\">31 cm</span><span style=\"line-height:1.5;\">，右肘上、下周径</span><span style=\"line-height:1.5;\">28 cm</span><span style=\"line-height:1.5;\">。左上肢无触痛，血运良好。辅助检查：血常规：白细胞：</span><span style=\"line-height:1.5;\">4.8 × 10</span><span style=\"line-height:1.5;\">9</span><span style=\"line-height:1.5;\">/l</span><span style=\"line-height:1.5;\">，血小板：</span><span style=\"line-height:1.5;\">113 × 10</span><span style=\"line-height:1.5;\">9</span><span style=\"line-height:1.5;\">/l</span><span style=\"line-height:1.5;\">，凝血四项均在正常范围，</span><span style=\"line-height:1.5;\">B</span><span style=\"line-height:1.5;\">超显示左颈内静脉和左锁骨下静脉血栓形成。入院后在手术室局麻下于左肘部切开一</span><span style=\"line-height:1.5;\">3 cm</span><span style=\"line-height:1.5;\">皮肤切口，找到贵要静脉，穿刺置入中心静脉导管，注入造影剂证实左侧自腋静脉开始有血栓形成，置入</span><span style=\"line-height:1.5;\">1.5</span><span style=\"line-height:1.5;\">米</span><span style=\"line-height:1.5;\">超滑导丝至上腔静脉，然后带入多功能导管，分别于锁骨下静脉和颈内静脉内注入稀释后的重组人组织型纤溶酶原衍生物</span><span style=\"line-height:1.5;\">18 mg</span><span style=\"line-height:1.5;\">，于血栓远心端造影示左锁内下静脉和左颈内静脉已通畅，撤走导管，缝合贵要静脉穿刺孔，溶栓结束，回病房后给予抗凝、祛聚，</span><span style=\"line-height:1.5;\">2</span><span style=\"line-height:1.5;\">天后病人左上肢肿胀明显减轻。</span>
</div>
<div style=\"text-align:justify;\">
	<span style=\"line-height:1.5;\">A 58 years old patient, male, presented left upper limb swelling for two days, one and a half years after chemotherapeutical treatment of gastric tumor. Physical examination results: No cervical lymph node swelling was found on both sides; left side neck was swollen; left upper limb was swollen with circumference 32 cmand31 cmat8 cmabove and below the left elbow, respectively; the circumference above and below the right elbow was28 cm. No touch pain was found and blood supply showed normal
%K 静脉血栓；溶栓<br> Venous Thrombosis
%K Thrombolytic
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=9747