How to check and confirm that you have femoral iliac vein thrombosis?

Femoral ilium is divided into human limbs and thrombophlebitis of limbs.

Thrombophlebitis refers to acute non-suppurative inflammation in venous cavity with thrombosis, which is a common vascular thrombotic disease, and the lesions mainly involve superficial veins and deep veins of limbs. Thrombosis can cause inflammation, and inflammation can also cause thrombosis, and the two are mutually causal.

Diagnosis of thrombophlebitis of limbs

1. Have a history of repeated venipuncture, intravenous injection of drugs, hypertonic solution or varicose veins of lower limbs.

2. The diseased vein area is red and swollen, with obvious pain and tenderness, and the local skin temperature is increased. After the acute inflammation dissipates, the hardness of umbilical cord increases, and the skin still has pigmentation, generally without systemic symptoms.

3. Recurrent thrombophlebitis is often the early manifestation of thromboangiitis obliterans or potential visceral tumor.

There are two main types: superficial thrombophlebitis and deep thrombophlebitis. The former is divided into superficial thrombophlebitis of limbs, superficial thrombophlebitis of thoracic and abdominal veins and superficial thrombophlebitis of wandering veins. The latter is divided into thrombophlebitis of calf muscular venous plexus and thrombophlebitis of iliofemoral vein and popliteal vein. Clinically, careful diagnosis should be made according to different characteristics.

Treatment of superficial thrombophlebitis of limbs

1. Non-surgical therapy

Raise the affected limb, local physical therapy or hot compress, and apply antibiotics as appropriate.

2. Surgical therapy

The diseased vein continues to spread to the proximal end, and those who tend to invade the deep vein should be ligated or removed at a high position.

Etiology of thrombotic superficial phlebitis of limbs

The disease is related to infection, limb trauma, intravenous intubation for more than 24 hours, intravenous injection of hypertonic solution and sclerosing agent, long-term bedridden patients, postoperative recovery patients and increased coagulation function. In addition, it is also related to diseases such as cancer and lymphoma.

Pathological changes of superficial thrombophlebitis of limbs

Injury of vein wall: At the entrance and confluence of vein, the structure of blood vessel wall is the weakest. If there is a slight laceration, it is easy to make platelets adhere and fibrin deposit;

Slow venous blood flow: operation or long-term bed rest, heart failure, increased intra-abdominal pressure, varicose veins of lower limbs, etc. All of them can cause deep vein thrombosis due to slow blood flow;

Abnormal hypercoagulability: blood concentration caused by major surgery, trauma, burns, childbirth or severe dehydration; Splenectomy, cancer, long-term oral contraceptives, pregnancy, infection, etc. Can increase blood coagulation.

Clinical manifestations of superficial thrombophlebitis of limbs

Patients with superficial phlebitis have local swelling and pain when walking, and can touch painful cord-like hard objects or beaded nodules.

Patients with deep phlebitis have sudden onset, depressed and swollen limbs, dark red skin, extensive varicose veins or varicose veins and telangiectasia; In the later stage, malnutrition changes occurred, accompanied by stasis dermatitis, pigmentation or superficial ulcers. The circumference of femur and tibia is more than 65438±0cm thicker than that of healthy limbs. The swelling and pain are aggravated when walking, and relieved after lying still. Venography showed that the deep vein of the affected limb was narrow or occluded.