Post-thrombotic syndrome

Introduction A thrombus is a small block formed by the blood flow at the surface of the endovascular exfoliation or repair of the cardiovascular system. In variable flow dependent patterns, the thrombus is composed of insoluble fibrin, deposited platelets, and accumulated white blood cells. And trapped in red blood cells. Leriche Syndrome, also known as aortic bifurcation syndrome, terminal aortic thrombosis syndrome, progressive aortic end-part thrombosis syndrome, terminal aortic atresia syndrome , chronic abdominal aortic iliac artery obstruction, isolated abdominal aortic iliac artery disease.

Cause

Causes of post-thrombotic syndrome

Abdominal aortic thrombosis may form a thrombus due to aneurysm, trauma, tumor or foreign body damage to the wall, and the aorta is slowly occluded, which may have the opportunity to establish a collateral circulation, generally only causing poor blood flow in the lower extremity.

an examination

Related inspection

Platelet mean volume (MPV) Platelet mean volume (MPV) Platelet life Granule membrane protein-140 Fibrin degradation products

Examination of post-thrombotic syndrome

Abdominal aortic thrombosis In addition to lower extremity symptoms, there are often some abdominal symptoms, such as not being carefully checked for misdiagnosis. The following points are helpful for diagnosis: 1 The patient has a serious condition and is often accompanied by shock. 2 lower abdominal and arm pain and sensory disturbances. 3 can be accompanied by gastrointestinal symptoms, such as vomiting, loose stools, falling sense. 4 from the beginning can be unilateral limb symptoms, followed by contralateral limb symptoms, and then signs of blood vessels and other cold blood vessels, and then the embolization can appear later.

Clinical manifestations: 1. Wrestling of the waist, thighs and calves during exercise, pain; 2. Can not touch the lower extremity arterial pulsation; 3. The lower limbs have pale skin and cold feeling; 4. Male patients have impotence and penile erection is difficult.

Differential diagnosis

Post-thrombotic syndrome confusing symptoms

Early identification of intermittent claudication caused by other causes.

The so-called intermittent claudication is the patient's walking from the beginning, or after a long walk (usually hundreds of meters), unilateral or bilateral back pain, leg weakness, even lower limbs, but a little kneeling or After sitting for a short break, the symptoms can be quickly relieved or disappeared, and the patient can continue to walk. After a while, the above symptoms reappear. Because in this process, the limp appears intermittently, so it is called intermittent limp.

And the abdominal aortic thrombosis syndrome (LericheSyndrome), also known as aortic bifurcation occlusion syndrome, terminal aortic thrombosis syndrome, progressive aortic end partial thrombosis syndrome, terminal aortic atresia syndrome , chronic abdominal aortic iliac artery obstruction, isolated abdominal aortic iliac artery disease.

Abdominal aortic thrombosis In addition to lower extremity symptoms, there are often some abdominal symptoms, such as not being carefully checked for misdiagnosis. The following points are helpful for diagnosis: 1 The patient has a serious condition and is often accompanied by shock. 2 lower abdominal and arm pain and sensory disturbances. 3 can be accompanied by gastrointestinal symptoms, such as vomiting, loose stools, falling sense. 4 from the beginning can be unilateral limb symptoms, followed by contralateral limb symptoms, and then signs of blood vessels and other cold blood vessels, and then the embolization can appear later.

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