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患者,男,43岁。因左下肢肿痛30 d于2013年7月20日入院。患者30 d前无明显诱因突发左小腿肿痛,当地医院下肢血管超声检查提示左胭静脉血栓形成。抗凝及活血化瘀治疗30 d,左下肢肿痛蔓延至大腿。转至我院后,血管超声检查提示左髂总静脉、髂外静脉、股总静脉、股浅静脉、胭静脉血栓形成。入院体格检查:左下肢粗肿,膝上15 cm周径比右侧粗6 cm,膝下10 cm周径比右侧粗4 cm,肤色暗红,皮温升高,股三角压痛阳性,腓肠肌挤压痛阳性,霍曼征阳
Patient, male, 43 years old. Due to the left lower extremity swelling and pain 30 d on July 20, 2013 admission. No obvious incentive to patients 30 days before the sudden onset of left leg swelling and pain, local hospital lower extremity vascular ultrasound examination prompted left venous thrombosis. Anticoagulant and blood circulation for 30 days, the left lower limb swelling and sore spread to the thigh. Transferred to our hospital, vascular ultrasound examination showed left common iliac vein, external iliac vein, total femoral vein, superficial femoral vein, vein thrombosis. Admission physical examination: left lower extremity swelling, knee circumference 15 cm diameter than the right 6 cm thick, 10 cm below the knee circumference than the right 4 cm thick, dull skin color, elevated skin temperature, triangular pressure tenderness, gastrocnemius muscle squeeze Tenderness positive, Hommann Zheng Yang