UPPER-EXTREMITY DEEP VENOUS THROMBOSIS AND PULMONARY-EMBOLISM - A PROSPECTIVE-STUDY

被引:171
作者
MONREAL, M
LAFOZ, E
RUIZ, J
VALLS, R
ALASTRUE, A
机构
关键词
D O I
10.1378/chest.99.2.280
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We prospectively evaluated the prevalence of pulmonary embolism (PE) in 30 consecutive patients with proved deep venous thrombosis (DVT) of the upper extremity. Ten patients (seven male and three female; mean age, 43 years) had primary DVT, and 20 patients (14 male and six female; mean age, 52 years) had catheter-related DVT. Ventilation-perfusion lung scans were routinely performed at the time of hospital admission to all but one patient (one patient was critically ill, and he died four days after DVT diagnosis because of massive PE). Lung scan findings were normal in nine of ten patients with primary DVT, and they were indeterminate in the remaining patient. By contrast, perfusion defects were considered highly suggestive of PE in four patients with catheter-related DVT; two patients had indeterminate lung scans, and 13 patients had normal scans. We conclude that PE is not a rare complication in upper extremity DVT, and that patients with catheter-related DVT seem to be at a high risk.
引用
收藏
页码:280 / 283
页数:4
相关论文
共 24 条
[1]  
ADAMS JT, 1965, ARCH SURG-CHICAGO, V91, P29
[2]   VENTILATION-PERFUSION STUDIES IN SUSPECTED PULMONARY-EMBOLISM [J].
BIELLO, DR ;
MATTAR, AG ;
MCKNIGHT, RC ;
SIEGEL, BA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1979, 133 (06) :1033-1037
[3]  
BROCHNER G, 1989, J CARDIOVASC SURG, V30, P108
[4]  
CAMPBELL CB, 1977, SURGERY, V82, P816
[5]  
COON WW, 1966, ARCH SURG-CHICAGO, V94, P657
[6]   PULMONARY EMBOLI FROM A PLATELET-RICH THROMBUS ATTACHED TO A PACEMAKER ELECTRODE [J].
DAVIS, G ;
KAPLAN, K ;
KWAAN, HC .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1983, 6 (05) :883-886
[7]  
DEMETER SL, 1982, ANGIOLOGY NOV, P743
[8]   OCCULT PULMONARY-EMBOLISM - A COMMON OCCURRENCE IN DEEP VENOUS THROMBOSIS [J].
DORFMAN, GS ;
CRONAN, JJ ;
TUPPER, TB ;
MESSERSMITH, RN ;
DENNY, DF ;
LEE, CH .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1987, 148 (02) :263-266
[9]  
GOLDHABER SZ, 1985, PULMONARY EMBOLISM D, P121
[10]  
GUTMAN H, 1988, PHLEBOLOGY, V3, P63