• 제목/요약/키워드: Deep-Vein Thrombosis

검색결과 135건 처리시간 0.029초

하지 심부정맥혈전증을 가진 중환자의 특성 및 발생 영향 요인 (Risk Factors and Features of Critically Ill Patients with Deep Vein Thrombosis in Lower Extremities)

  • 김화순;조옥민;조효임;김주연
    • 대한간호학회지
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    • 제42권3호
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    • pp.396-404
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    • 2012
  • Purpose: The purpose of this study was to identify the features, risk scores and risk factors for deep vein thrombosis in critically ill patients who developed deep vein thrombosis in their lower extremities. Methods: The participants in this prospective descriptive study were 175 adult patients who did not receive any prophylactic medication or mechanical therapy during their admission in the intensive care unit. Results: The mean age was 62.24 (${\pm}17.28$) years. Men made up 54.9% of the participating patients. There were significant differences in age, body mass index, and leg swelling between patients who developed deep vein thrombosis and those who did not have deep vein thrombosis. The mean risk score was 6.71(${\pm}2.94$) and they had on average 4.01(${\pm}1.35$) risk factors. In the multiple logistic regression, body mass index (odds ratio=1.14) and leg swelling (odds ratio=6.05) were significant predictors of deep vein thrombosis. Conclusion: Most critically ill patients are in the potentially high risk group for deep vein thrombosis. However, patients who are elderly, obese or have leg edema should be closely assessed and more than one type of active prophylactic intervention should be provided.

심부정맥혈전증에 대한 혈부축어탕의 치험 1례 (Case Study of a Deep-vein Thrombosis Patient Treated with Combinatorial Hyulbuchuko-tang)

  • 이명화;허희수;김경민;김영균
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.315-321
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    • 2016
  • Objective: This study reports on the clinical effects of combinatorial Hyulbuchuko-tang on a deep-vein thrombosis patient.Method: The deep-vein thrombosis patient was treated using combinatorial Hyulbuchuko-tang and pharmacopuncture (water-soluble carthami flos, WCF) three times a day for 33 days. The effects of deep-vein thrombosis were measured using a 0-10 numerical rating scale (NRS) and external appearance.Result: Improvements in the NRS from 7 to 2 were observed after the combinatorial Hyulbuchuko-tang treatment.Conclusions: From these results, combinatorial Hyulbuchuko-tang may be considered to show improvement for patients with deep-vein thrombosis.

슬관절 전치환술 후 한방재활치료 중 발생한 심부정맥 혈전증 보고 (Deep Vein Thrombosis after Total Knee Replacement in a Patient undergoing Korean Medical Rehabilitation)

  • 김창곤;고낙용;고연석;이정한
    • 한방재활의학과학회지
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    • 제25권2호
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    • pp.197-203
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    • 2015
  • Objectives The objective of this study is to report the deep vein thrombosis (DVT) after total knee replacement (TKR) in a patient undergoing Korean medical rehabilitation. Methods A female patient who had total knee replacement (TKR) was treated by Korean medical rehabilitation with protocol. After fifteen days treatment, deep vein thrombosis (DVT) was suspected. Therefore, CT venography was performed. Results After Korean medical rehabilitation, pain was decreased. But also occurred deep vein thrombosis (DVT) as a complication. Conclusions We present a case of deep vein thrombosis (DVT) after total knee replacement (TKR) in a patient undergoing Korean medical rehabilitation. There is a limit that this study hasn't sufficient number of cases. Further studies will be needed.

복부구획증후군 환자에서 발생한 심부정맥혈전증 (The Occurence of Deep Vein Thrombosis in Abdominal Compartment Patient)

  • 김성엽;진성찬
    • Journal of Trauma and Injury
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    • 제26권4호
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    • pp.312-315
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    • 2013
  • Abdominal compartment syndrome is one cause of deep vein thrombosis of lower extremity. Although prophylactic dose of anticoagulation agent is safely started after 24~48 hours without the evidence of active bleeding, there may be bleeding complication related to invasive procedure which trauma victims undergo. Inferior vena cava filter should be considered in the treatment plan of this complex situation.

심부정맥혈전증으로 인한 소양인(少陽人) 하지부종(下肢浮腫) 치험 1례 (A Clinic Study on Soyangin Lower Limb Edema Caused by Deep Vein Thrombosis)

  • 김현호;홍솔이;임은철;김태환
    • 사상체질의학회지
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    • 제18권3호
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    • pp.202-209
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    • 2006
  • 1. Objectives The purpose of this study is to evaluate the effects of Sasang Constitutional medical diagnosis and treatment on Soyangin Edema caused by Deep Vein Thrombosis. 2. Methods The Subject is a 75 years old woman who has a left lower limb edema caused by Deep Vein Thrombosis, we had diagnosed her as Soyangin and prescribed Sasang Constitutional Medicine. We evaluated with length of patient's calf, thigh, ankle circumference and pitting edema, skin flare after medication. 3. Results Lower limb edma of a Soyangin patient responded well to the treatment with Dojeokganggi-tang(導赤降氣湯). 4. Conclusions This case study shows an efficient result by using Dojeokganggi-tang in treatment of Soyangin edema patient.

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Streptococcus pyogenes 근염에 심부 정맥 혈전증이 동반한 1례 (A Case of Deep Vein Thrombosis Associated with Myositis due to Streptococcus pyogenes)

  • 이재숙;장태영;안영민
    • Pediatric Infection and Vaccine
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    • 제16권1호
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    • pp.87-91
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    • 2009
  • 세균성 근염은 화농성 관절염, 봉와직염, 골수염, 혈전 정맥염, 다발성 근염, 혈종, 좌상, 종양과 감별이 필요하며 진단에 MRI가 도움이 된다. 저자들은 A군 사슬알균에 의한 화농성 근염을 조기에 진단하여 clindamycin으로 치료하였고 심부정맥 혈전증까지 합병되었던 환자를 경험하였다. 성인에서는 증례로 보고된 바가 있지만 국내에서는 아직 보고가 없어 이를 보고하는 바이다.

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A Case of Antiphospholipid Syndrome Refractory to Secondary Anticoagulating Prophylaxis after Deep Vein Thrombosis-Pulmonary Embolism

  • Gu, Kang Mo;Shin, Jong Wook;Park, In Won
    • Tuberculosis and Respiratory Diseases
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    • 제77권6호
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    • pp.274-278
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    • 2014
  • Antiphospholipid syndrome (APS) is an acquired systemic autoimmune disorder characterized by a combination of clinical criteria, including vascular thrombosis or pregnancy morbidity and elevated antiphospholipid antibody titers. It is one of the causes of deep vein thrombosis and pulmonary embolism that can be critical due to the mortality risk. Overall recurrence of thromboembolism is very low with adequate anticoagulation prophylaxis. The most effective treatment to prevent recurrent thrombosis is long-term anticoagulation. We report on a 17-year-old male with APS, who manifested blue toe syndrome, deep vein thrombosis, pulmonary thromboembolism, and cerebral infarction despite adequate long-term anticoagulation therapy.

심부 정맥 혈전으로 오인된 총대퇴정맥에 생긴 외막낭성질환: 증례 보고 (Adventitial Cystic Disease of the Common Femoral Vein Mimicking Deep Venous Thrombosis: A Case Report)

  • 민선하;김재형
    • 대한영상의학회지
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    • 제82권5호
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    • pp.1315-1320
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    • 2021
  • 외막낭성질환은 점액을 함유하는 낭종이 혈관벽에 생긴 것으로 정맥에 생기는 경우는 매우 드물다. 우리는 41세 남자 환자에서 심부 정맥 혈전증으로 오인하였다가 외막낭성질환으로 진단하게 된 증례를 특징적인 영상 소견과 함께 심부 정맥 혈전증과 비교하여 보고하고자 한다.

심부 대퇴정맥에 발생한 혈관 평활근육종 - 1예 보고 - (Angioleiomyosarcoma Arising from the Deep Femoral Vein - A report of one case -)

  • 황성욱;곡낙수;정호중;손동섭;조대윤
    • Journal of Chest Surgery
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    • 제41권3호
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    • pp.381-385
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    • 2008
  • 두 차례의 좌측 하지 부종이 있던 69세 남자 환자가 심부 정맥 혈전으로 본원에 입원하였다. 처음은 2007년 6월에 유럽 여행에서 귀국 시 11시간 비행 후 좌측 하지 부종이 있었으며, 그 후로 2007년 7월 요추 수술 후 3일만에 다시 좌측 하지 부종이 나타나서 본원에 내원하였다. 입원 후 심부 대퇴 정맥에 발생한 심부 정맥 혈전으로 치료하였으나, 심부 정맥 혈전에 대한 수술 후에 혈관 평활근육종이란 조직 검사 결과를 알게 되어 이차 수술로 심부 대퇴 정맥을 제거하였다. 본원에서는 심부 정맥혈전의 양상을 보인 혈관 평활근육종 1예를 치험하였기에 이에 보고하는 바이다.

지주막하 출혈 후 발생한 심부정맥 혈전증 환자에 대한 한양방 병용치료 증례 보고 1례 (A Case Report of a Patient with Subarachnoid Hemorrhage and Deep Vein Thrombosis Treated with a Combination of East-West Medicine)

  • 배고은;최진용;심소현;서희정;서형범;홍진우;이인;김소연;최준용;한창우;윤영주;박성하;권정남
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.165-175
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    • 2018
  • Purpose: To report on a patient with subarachnoid hemorrhage and deep vein thrombosis treated with a combination of Korean and Western medicine. Methods: A patient diagnosed with subarachnoid hemorrhage and deep vein thrombosis was treated with herbal medicine (加減淸熱瀉濕湯 (Gagam-cheongyeolsaseub-tang)), acupuncture (GV2, GB20, LI11, LI4, TE5, GB34, ST36, SP9, ST38, GB39, SP6, LR3), moxibustion (CV6, CV9), and Western medicine for deep vein thrombosis and subarachnoid hemorrhage. To evaluate edema, one of the classic symptoms of deep vein thrombosis, we measured leg circumference at a specified time. Results: After taking Gagam-cheongyeolsaseub-tang and being treated with acupuncture, moxibustion, and Western medicine, the patient showed improvement in leg edema. The left calf circumference decreased from 37.5 cm to 34.5 cm. Conclusions: Korean medicine, acupuncture, moxibustion, and Western medicine may provide effective treatment for deep vein thrombosis in patients with subarachnoid hemorrhage, but further study is needed.