RESUMO
Background and Aim: Deep vein thrombosis [DVT] is a condition that, in case of delay in diagnosis and treatment, can lead to serious complications like pulmonary embolism. Given the importance of assessment and identification of diseases in every community, the current study aimed at assessing the epidemiology of DVT patients in Birjand
Materials and Methods: The present descriptive-analytical study was conducted on all DVT patients admitted to Birjand Vali-e-asr hospital between 2009 and 2014. A trained medical student completed each researcher-designed questionnaire. based on an intern's history recording, a physician's orders ,and a nurse's note. Then, the patients were called up demanding the status of the patient and disease complications, readmission, or death. Finally, the obtained data was encoded and analyzed by SPSS [V: 18] at the significant level P<0.05
Results: During the study period, 263 patients with DVT had been hospitalized in Birjand Vali-e-asr hospital .Out of the patients, 50.2% were males. Mean age of the subjects was 55.84 +/- 18.45 years. In 98.1% of the cases the lower extremity was involved. The most prevalent risk factor was immobilization and the least risk factor was family history of DVT. Regarding the relationship between DVT risk factors and sex only smoking cigarettes was both significant and more prevalent. During 5 years, 3.8% of the population had died due to DVT complications. Recurrent DVT in 6% and pulmonary emboli in 3.4% of the patients were diagnosed
Conclusion: Given that the most common risk factor for DVT in our study was immobilization, prophylaxis is necessary in patients at high risk tin order to decrease occurrence possibility of DVT
RESUMO
Deep vein thrombosis [DVT] is an important disease and occurred in lower extremities ,commonly
Approximately 10% of all cases of DVT involve the upper extremities. Upper-extremity DVT is an increasingly entity due to more catheter user and pace maker implantation. Because of potential risk of Pulmonary embolism , Upper-extremity DVT is clinically important condition. Involvement of upper extremity DVT is due to catheter ,trauma, infection, mechanical obstruction, IV drug abusing, surgery, etc. Primary Upper-extremity DVT is a rare disorder that refers either to effort thrombosis [the so-called Paget-Schroetter Syndrome] or idiopathic . Patients with Paget-Schroetter Syndrome develop in young and healthy people ,in dominant arm and after strenuous activity such as weight lifting, baseball pitching ,etc
In this article we report a young patient suffering from pain and swelling caused by the movement of glaciers in the right hand.After color Doppler ultrasonography and Venography, Upper-extremity DVT recognized. He was treated by anticoagulant
We will also talk about the next treatment and patient, s 4-years follow up
In the present article . a young patient with a diagnosis of right arm DVT post exertion with Paget- Schroetter syndrome and 4 years follow up is presented