An Autopsy Study of Leg Vein Thrombosis
An Autopsy Study of Leg Vein Thrombosis
复制标题
腿部静脉血栓形成的尸检研究
作者：
P. Stein;Hilary Evans
对未经选择的患者进行了腿部静脉的尸检研究，其中使用了尸检、大体解剖和显微镜检查，以评估腿部静脉血栓的发生率、位置、来源和扩散方式。腿部静脉血栓的发生率很高；在所研究的27名患者中，有13名(48%)死前有血栓。大腿静脉血栓形成常见(8例)，但小腿静脉血栓形成更常见(12例)。在7名患者中发现了大到足以导致明显的肺栓塞的血栓。在这项研究的6名患者中，有5名在尸检时发现有肺血栓。在大腿和小腿的静脉中都观察到血栓形成的起始。瓣膜腔是血栓形成的常见部位。1例患者继发静脉壁炎症(静脉炎)，死后静脉造影术对腿部静脉血栓的尸检研究是一种有用且简单的辅助手段。它对检测大腿血栓特别可靠。
An autopsy study of leg veins in unselected patients was performed in which postmortem venography, complete gross dissection, and microscopic examination were utilized in order to assess the incidence, location, origin, and mode of propagation of venous thrombi in the leg. The incidence of leg vein thrombosis is high; 13 of 27 patients studied (48%) had antemortem thrombi. Thrombosis in the veins of the thigh occurred often (eight patients), but thrombosis in the veins of the calf was even more frequent (12 patients). Thrombi large enough to cause significant pulmonary embolism were found in seven patients. Leg vein thrombi were found in five of the six patients in this study who had pulmonary embolism at autopsy. Initiation of thrombosis was noted in the veins of both the thighs and the calves. The valve pockets were a frequent site of origin of thrombi. Inflammation of the wall of the vein (phlebitis) secondary to thrombosis was found in one patient.Postmortem venography is a useful and simple adjunct for the autopsy study of leg vein thrombosis. It is particularly reliable for the detection of thrombi in the thigh.