The patient was diagnosed with deep venous thrombosis of the left lower extremity by computed tomography.

(Provided by Minsheng Hospital)

[Reporter Fang Zhixian / Kaohsiung Report] A 78-year-old Kaohsiung woman had swelling and pain in her left lower extremity. She went to a doctor for a blood test. The index of deep venous thrombosis exceeded 17 times the normal value. The computed tomography was diagnosed as deep venous thrombosis of the left lower extremity.

On the 4th day after being admitted to hospital by a physician and given anticoagulant injection, the value of the embolism index decreased, the swelling of the left lower extremity gradually improved, and he was discharged from the hospital 1 week later.

Li Mingyi, director of the Cardiology Department of Minsheng Hospital, said that deep venous embolism refers to the formation of blood clots in the deep veins, which obstructs blood flow, thereby causing inflammation of the venous blood vessels. Most of them occur in the deep veins of the lower extremities.

Not only is the blood flow blocked in the lower extremities, but the thrombus may rupture and flow back to the right heart, and then to the pulmonary artery, causing fatal pulmonary embolism.

Please read on...

A 78-year-old woman presented with swelling and pain in her left lower extremity and was diagnosed with deep venous thrombosis in her left lower extremity.

(Photo courtesy of Minsheng Hospital)

Li Mingyi said that clinical risk factors for deep venous thrombosis include long-term standing or sedentary (such as taking a long-distance plane), bed rest, excessive abdominal pressure (pregnancy or ascites), poor venous valve function, contraceptive use, malignant tumors, Knee and hip surgery, pelvic fractures, etc.

Li Mingyi said that a 78-year-old woman went to the doctor because of swelling and pain in the left lower extremity. After examination, it was found that the thigh to the foot of the left lower extremity was obviously swollen, and the value of the deep venous thrombosis index value of blood test was 8717.32 ng/mL (normal value <500 ng/mL). Arrangement of lower extremity vascular computed tomography showed that the patient had obvious vascular thrombosis blocking the left iliac vein, femoral vein to popliteal vein, and the diagnosis was deep venous thrombosis of the left lower extremity.

Arranged for admission to hospital and given anticoagulant injections.

On the 4th day after treatment, the value of tracking deep venous embolism decreased, and the swelling of the left lower extremity improved. After 1 week, the value had dropped to 500ng/mL and was discharged from the hospital.

Huang Peiyu, a radiologist at the Minsheng Hospital, said that there were no symptoms at the beginning of the formation of deep vein thrombosis in the lower extremities, and the common symptoms in the later stage included swelling, pain and fever of the lower limbs on the affected side; in addition, the gastrocnemius (calf) was painful when the foot was flexed, which is called Homan's Homan's sign.

Computed tomography or ultrasonography of the lower extremity vessels is recommended to identify myofascial problems or cellulitis, and to receive aggressive treatment.

Yan Jiaqi, director of Minsheng Hospital, reminded the public that they should pay attention not to maintain the same posture for too long, to avoid standing or sitting for a long time, and to get up and move in time when taking a car or an airplane for a long time.

If you have suspected symptoms, you should see a doctor as soon as possible to avoid delaying the treatment.

After the patient received treatment, the swelling of the left lower extremity gradually improved, and he was discharged from the hospital one week later.

(Provided by Minsheng Hospital)

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keywords

  • sedentary

  • pulmonary embolism

  • ascites

  • Improper posture

  • venous thrombosis

  • lower extremity swelling

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