|
KMID : 0364019920250111358
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 11 p.1358 ~ p.1361
|
|
|
Treatment of Deep Thrombosis
|
|
왕옥보
김원곤/조규석/박주철/유세영
|
|
|
Abstract
|
|
|
During the past 4 uears, 18 cases of deep vein thrombosis were treated. Diagnosis was based on clinical symptoms, phlebography and vascular Doppler examination. Etiologic factors were mainly trauma, operation and immobilization of the lower
extremities.
Seven patients were treated surgically and eleven patients medically. The indications for surgical thrombectomy included phlegmasia cerulea dolens (N=6), and phlemasia cerulea dolens with focal venous gangrene (N=1). The comparative analysis of
each
treatment methods was done after a mean observation period of 6 months. Good clincal results were observation in 4 patents in surgically treated (57.1%), and 4 in conservative management group (36.3%). There were no mortality in the both surgical
and
medically treated group but one patient with phlegmasia cerulea dolens and focal venous gangrene was dischared in moribund state at the third postoperation day due to sepsis and multiorgan failure. We believe that aggressive early surgical
thrombectomy
should be stronly considered for patients of phlegmasia cerulea dolena.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|