შეჯამება
განსაზღვრება
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- previous superficial vein thrombosis (SVT), deep vein thrombosis, or pulmonary embolism
- redness/erythema of overlying skin
- hot/warm overlying skin
- painful/tender over affected vein
- swelling/edema of surrounding area
- cord-like mass palpable
- development of symptoms over hours to days
- signs/symptoms of concomitant DVT or PE
სხვა დიაგნოსტიკური ფაქტორები
- varicose veins
- history of thrombophilic disorders
- autoimmune diseases (e.g., Behcet and Buerger disease)
- recent vein instrumentation (e.g., sclerotherapy)
- recent vein catheterization and intravenous drug administration
- low-grade fever
- pigmentation changes
რისკფაქტორები
- varicose veins
- thrombophilic disorders
- autoimmune diseases (e.g., Behcet and Buerger disease)
- prior history of superficial vein thrombosis (SVT)
- female sex
- sclerotherapy
- intravenous catheterization
- malignancy
- pregnancy
- use of oral contraceptives (OCPs) and hormonal replacement therapy
- older age
- history of prior venous thromboembolism (VTE), including deep vein thrombosis and PE
- obesity
- prolonged immobilization (e.g., long-haul air travel)
- blood type
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- Doppler ultrasonography
გასათვალისწინებელი კვლევები
- biopsy
- pulmonary CT angiography
- ventilation perfusion (VQ) scan
- conventional pulmonary angiography
- assessment for malignancy
- thrombophilia screening
მკურნალობის ალგორითმი
extension into the femoral vein or popliteal vein, thrombus ≤3 from the saphenofemoral or saphenopopliteal junction, or concomitant DVT or PE
nonpregnant: SVT ≥5 cm in length within axial superficial vein and >3 cm from the saphenofemoral or saphenopopliteal junction
nonpregnant: SVT <5 cm in length within axial superficial vein or thrombus within tributary varicose veins only
pregnant: SVT (any size) within axial or tributary vein
incompetent saphenous vein with associated varicose veins or recurrent SVT
კონტრიბუტორები
ავტორები
Sherry Scovell, MD, FACS
Vascular and Endovascular Surgeon
Massachusetts General Hospital
Assistant Professor of Surgery, Part Time
Harvard Medical School
Boston
MA
გაფრთხილება:
SS is an author for UpToDate, which is compensated. SS declares that she has no conflicts of interest with medical or pharmaceutical companies.
მადლიერება
Dr Sherry Scovell would like to gratefully acknowledge Professor Vicky Tagalakis, a previous contributor to this topic.
გაფრთხილება:
VT has received reimbursement for advisory board work for Servier and Pzifer. Both of these companies are makers of anticoagulants. VT has received an investigator-initiated grant from Sanofi, manufacturer of Enoxaparin.
რეცენზენტები
Francois Becker, MD, PhD
Consultant
Division of Angiology and Hemostasis
University Hospital of Geneva
Geneva
Switzerland
გაფრთხილება:
FB declares that he has no competing interests.
Michael Bromberg, MD, PhD
Professor of Medicine
Section of Hematology
Director of Hematologic Malignancies
Temple University School of Medicine
Philadelphia
PA
გაფრთხილება:
MB declares that he has no competing interests.
Louis Aledort, MD
The Mary Weinfeld Professor of Clinical Research in Hemophilia
Mount Sinai School of Medicine
New York
NY
გაფრთხილება:
LA declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
წყაროები
ძირითადი სტატიები
Stevens SM, Woller SC, Kreuziger LB, et al. Antithrombotic therapy for VTE disease: second update of the CHEST guideline and expert panel report. Chest. 2021 Dec;160(6):e545-608.სრული ტექსტი აბსტრაქტი
Kakkos SK, Gohel M, Baekgaard N, et al. Editor's Choice - European Society for Vascular Surgery (ESVS) 2021 clinical practice guidelines on the management of venous thrombosis. Eur J Vasc Endovasc Surg. 2021 Jan;61(1):9-82.სრული ტექსტი აბსტრაქტი
Thrombosis Canada. Superficial thrombophlebitis, superficial vein thrombosis. Aug 2023 [internet publication].სრული ტექსტი
Di Nisio M, Wichers IM, Middeldorp S. Treatment for superficial thrombophlebitis of the leg. Cochrane Database Syst Rev. 2018 Feb 25;(2):CD004982.სრული ტექსტი აბსტრაქტი
გამოყენებული სტატიები
ამ თემაში მოხსენიებული წყაროების სრული სია ხელმისაწვდომია მომხმარებლებისთვის, რომლებსაც აქვთ წვდომა BMJ Best Practice-ის ყველა ნაწილზე.
鉴别诊断
- Deep vein thrombosis
- Cellulitis
- Lymphedema
მეტი 鉴别诊断指南
- Superficial thrombophlebitis, superficial vein thrombosis
- Antithrombotic therapy for VTE disease: second update of the CHEST guideline and expert panel report
მეტი 指南患者教育信息
Deep vein thrombosis
Varicose veins
更多 患者教育信息
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明