Can deep vein thrombosis of the left lower extremity be dissolved if the thrombus is not completely

In the acute phase, complete thrombolysis with long-term oral warfarin is still possible. If the onset is prolonged, it will affect the effect of anticoagulation and thrombolysis. It is recommended to take warfarin orally for more than half a year, during which time attention should be paid to re-checking the coagulation function to understand the INR status.

If the sequelae of thrombosis do not work well, the only way to alleviate the symptoms is to reduce the symptoms by local massage, wearing compression stockings, and elevating the affected limb. Chengdu Second People's Hospital - Breast and Vascular Surgery - Attending Physician Nie Lei See more answers

Thrombolysis is the process of dissolving blood clots with thrombolytic drugs.

Thrombosis, such as acute myocardial infarction (AMI) and venous thromboembolism, is a type of cardiovascular disease that seriously endangers human health and life. In Western countries, deaths due to blood clots already account for the largest mortality rate in the population. In China, with the improvement of people's material living standards, the change of dietary structure and the gradual development of clinical research on geriatric diseases, the demand for thrombolytic drugs is also increasing.

When a thrombus is formed in the body, plasminogen (PG) in the blood is partially enriched around the thrombus due to its considerable affinity for fibrin (FN), plasminogen activator (PA) can activate PG to plasmin (PM), and PM with serine protease activity can degrade FN that forms the thrombosis skeleton, thereby playing a thrombolytic role.

There are several methods of venous thrombosis removal of the leg and lower extremities:

Clause. 1. For acute lower extremity deep vein thrombosis, thrombosis and catheter thrombolysis can be carried out under intervention, and before these operations, the vena cava filter should be placed first to prevent pulmonary embolism from falling off during thrombosis and thrombolysis.

Clause. 2. Anticoagulation should be given for chronic lower limb deep vein thrombosis, low molecular weight subcutaneous injection should be given during hospitalization, oral anticoagulant drugs, such as rivaroxaban should be taken after discharge, and regular reexamination of lower limb venous color ultrasound, most patients can recanalize or even disappear after oral rivaroxaban. After the deep vein thrombosis of the lower extremities disappears, oral anticoagulants should be continued for a period of time to avoid blood clots in the lower limbs. At the same time, for venous thrombosis of the lower extremities in superficial veins, surgical resection can be used.

Problem analysis: Hello, this right lower limb deep vein thrombosis has been partially recanalized, this is already stable, and there is no obvious discomfort in this one.

Suggestions: This can be done without medicine, and then it is just observation, which has nothing to do with whether thrombosis is formed in other parts, and paying attention to moving more limbs is conducive to reducing the risk of thrombosis.

Once a thrombus is formed, it cannot be dissolved, and now for acute thrombosis, thrombolytic drugs such as heparin sodium can be dissolved. But there are also risks that can easily lead to intracerebral hemorrhage. For chronic blood clots, it is indissolvable.

Guidance: Once the onset of cerebral infarction occurs, within 12 hours, if heparin sodium is used, it is possible to improve the symptoms to the greatest extent. But it depends on whether the hospital has the conditions. Others** only improve blood supply, dilate blood vessels, etc., but there will be sequelae.

Collateral circulation is formed around the lesion, so it can partially improve the symptoms. It seems to be ** effective.

For patients with blood clots, exercise.

We need to be very cautious. You should do the right exercise that is in line with your health condition, and you should not exercise too much, and it is best to do it under the guidance of your own doctor.

The greatest benefit of exercise is the prevention of cardiovascular and cerebrovascular diseases caused by thrombosis in people who are prone to blood clots. But strenuous exercise is not recommended for people who already have blood clots, otherwise there may be serious problems.

Venous thrombosis is a vascular disease that is more harmful to our body, if we say that once we are diagnosed with this disease, we should go to the hospital as soon as possible, so as to completely prevent the spread of thrombosis and strive to completely dissolve the thrombosis, as soon as possible to promote venous return, in addition to the patient must pay attention to safety at ordinary times, and must pay attention to prevent collision injuries.

Guidance: Develop good living habits, do more gentle exercises to promote venous blood return, pay attention to the combination of work and rest, and raise your legs more to relieve symptoms. Do a few more exercises to relieve the condition.

1. Push and pull the calf.

Patients with varicose veins of the lower limbs sit on the edge of the bed and put their legs on a low stool, massage the left leg first, stick the left palm on the outside of the calf, stick the right palm on the inside of the calf, start from the knee with both palms and clamp the left calf and push down, push to the ankle that is, pull back, push and pull 100 times, and the exercise method of the right leg is the same as above.

2. Push the calf flat.

Patients with varicose veins of the lower limbs should put their fingers together and spread their thumbs apart, and push the varicose blood vessels in the calf with the palm of their hands back and forth 30 times.

3. Pinch your toes.

People with varicose veins of the lower extremities pinch the five toes of the affected leg with one hand and pinch back and forth 30 times.

4. Massage the soles of the feet.

Patients with varicose veins of the lower limbs massage the soles of the feet with the palm of one hand and rub them 100 times with the Yongquan acupoint (the depression of the front third of the soles) as the center.

Varicose veins of the lower extremities** method.

To prevent and treat varicose veins, apply a warm compress for 20 minutes every day.

In daily life, when we encounter bruises, we will also choose hot egg compresses to relieve them. In traditional Chinese medicine, warm is the best way to pass and no pain, and warm compresses can help relieve the pain of varicose veins in the lower legs. However, it is not possible to apply a hot compress to the calf eggs, we can use ginger for a hot compress, and the effect will be better.

Ginger contains a compound similar to salicylic acid, which is equivalent to a blood thinner and anticoagulant, which can reduce blood lipids and blood pressure. Chop ginger and wrap it around the leg with gauze for 20 minutes, which can increase the local ** temperature, relax the muscles, improve the blood circulation of the lower limbs, and effectively relieve the symptoms of varicose veins.

Eat less high-fat, high-calorie foods.

With the arrival of winter, foods such as hot pot and fatty meat have become common foods on the table. However, in these foods, the fat and calorie content are relatively high, and excessive intake is easy to increase blood viscosity, which affects the normal return of venous blood for a long time and induces the formation of varicose veins. Therefore, after the age of 40, we should reduce the consumption of high-fat and high-calorie foods, and eat more fresh vegetables and fruits to help take care of the health of blood vessels and prevent the formation of varicose veins.

Essential physical activity is indispensable.

After the age of 40, various body organs of the human body will gradually decline, especially the function of vein valves will gradually weaken, leading to the onset of varicose veins. Therefore, you should do some physical exercise every day, which can enhance cardiopulmonary function and body resistance, and also help blood circulation in the body. Usually we can do some aerobic exercises, such as jogging, fast walking, jumping rope, etc.

Doing these exercises regularly can reduce venous congestion, delay the aging of venous valves, and help prevent varicose veins.

Can venous thrombosis in the lower extremities exercise more.

Although the appearance of venous thrombosis of the lower limbs is related to long-term inactivity, it does not mean that you can blindly exercise if you suffer from venous thrombosis of the lower limbs, because improper exercise may also cause venous thrombosis and complications. If the thrombus is not ablated in time, strenuous exercise will cause it to fall off and return to the lungs through the veins, causing pulmonary embolism, which can be life-threatening at any time.

Patients with venous thrombosis of the lower extremities should not do strenuous exercise. Exercises like skipping rope are not allowed to be done because. To prevent injury.

In particular, if the affected limb is not injured again, it is a rule not to be injured again. Symptoms may become more severe, or new areas may appear. That's not easy, so be careful, not only can't do these jumping movements, but also usually have to be very small.

Venous thrombosis of the lower extremities is not cleanly dissolved, and it is easy to cause problems of venous thrombosis, or even more serious problems, such as the following.

1. Infection.

In life, if your varicose veins in the lower limbs are very obvious, it may also lead to a decrease in the patient's resistance and easy to infect, for example, at this time, it is likely to be accompanied by erysipelas and superficial vainitis. Such infections are very dangerous.

2. Veins may bleed.

As the pressure of the veins of the lower extremities increases, the thickness of the vein walls in the varicose veins of the lower extremities is not appropriate, and sometimes, even a slight injury or wound may be accompanied by bleeding. Even because the pressure in the veins is too high, it may rupture and bleed automatically, which is very dangerous.

3. The vein wall is damaged.

When you are in the symptoms of varicose veins of the lower limbs for a long time, the veins may be damaged, and the local blood supply will be insufficient, which will further aggravate the atrophy of muscle and fat, which is very easy to damage the vein wall, and it is also a more dangerous situation.

4. Edema and eczema will occur.

In life, varicose veins of the lower limbs may lead to tissue edema due to venous stasis, and once the edema is aggravated, it may also affect the health of the first and lead to the appearance of eczema, which is also a very bad thing.

If it is simple superficial varicose veins of the lower limbs, the general clinical symptoms are mild, the progression is slow, and most of them are manifested as simple varicose veins, and in a few cases, there may be thrombophlebitis, venous ulcers, etc.; If it is a deep vein valve insufficiency, or even a deep venous return obstruction, the condition is relatively serious, the calf has a feeling of heaviness when standing, easy fatigue, and even swelling and bursting pain of the lower limbs, and the later stage will occur ** nutritional changes, desquamation, atrophy, pigmentation, eczema ulcer formation.

In the case of calf vein thrombosis, it is necessary to pay attention to rest and avoid strenuous activity and fatigue, you can consider the vascular color ultrasound examination of the vascular surgery department of the local regular hospital, and formulate the best plan according to the specific situation of thrombosis.

Varicose veins refer to the tortuosity and dilation of veins due to factors such as blood stagnation and weak venous walls. Varicose veins can occur in many parts of the body, such as hemorrhoids are actually a kind of varicose veins, and clinical manifestations include esophageal and gastric varices, varicoceles and abdominal wall varices. Varicose veins most often occur in the lower extremities.

It is worth emphasizing that varicose veins are secondary manifestations of other lesions.

Varicose veins of the lower extremities are abnormal dilation and tortuosity of the veins, which are caused by increased pressure in the veins that exceed the capacity of the vein walls. Varicose veins of the lower extremities are a vascular valve disease that does not heal on its own. It is commonly seen in people who have been engaged in standing occupations for a long time (e.g., teachers, salespeople, cooks, hairdressers, heavy manual laborers, etc.).

According to statistics, the incidence rate is 10-20%, that is, there are more than 100 million varicose veins in China, the ratio of men to women is 1:2, the left leg is more common than the right leg, and the incidence gradually increases with the aging of the population.

In the past 70 years, Europeans have discovered and used reactive oxygen species, especially in the medical field is more prominent, when the conventional medical methods are powerless or fail to the disease, especially in vascular diseases thrombosis, occlusion, vascular stent re-blockage, tissue hypoxia and serious infection, etc., often in the existing medical interventional technology is helpless, medical ROS blood purification ** with its safe, effective, green clinical effect, for vascular surgeons to provide a scientific, real, objective new method.

There are a few things to pay attention to in your life to alleviate the condition.

1.Avoid wearing tight clothing. The belt and shoes should not be too tight, and it is best to wear low-heeled shoes.

2.Control your weight. If you are overweight, it will increase the burden on your body and make varicose veins worse.

3.Don't lift heavy objects. Heavy objects can increase the body's pressure on the lower limbs, which is not conducive to relieving the symptoms of varicose veins.

4.Avoid high temperatures. High temperatures tend to dilate blood vessels, which can aggravate the condition.

5.The left decubitus position is used. When resting and sleeping, patients should try to use the left decubitus position, which is conducive to blood circulation in the inferior vena cava and reduces the symptoms of varicose veins.

Prevention and treatment of varicose veins of the lower limbs.

1. Check whether the calf is swollen every night, and when you sleep at night, raise the leg by about 15 cm.

2. Keep the feet and legs clean to avoid injury, if the legs are relatively dry, you should apply medicine according to the doctor's instructions.

3. Develop the habit of wearing medical elastic stockings every day and exercising your legs for 1 hour, walking, brisk walking, cycling, and running. People with high venous pressure in the calf should put on compression stockings after waking up every day and take them off when they go to bed at night.

4. Women should give special care to their legs during special periods such as menstruation and pregnancy, rest more, and massage their legs frequently to help blood circulation and avoid varicose veins.

Problem analysis: Hello, generally speaking, the three major factors such as venous blood flow stagnation, venous wall damage and blood hypercoagulability are the main causes of deep vein thrombosis in the lower limbs. Older patients like patients are prone to hypercoagulability, which is usually more important.

Suggestions: For patients who happen to have deep vein thrombosis in the left lower extremity, it is recommended that the patient rest in bed and elevate the affected spike limb, use low molecular weight heparin in the acute phase like a smile, and gradually transition to oral anticoagulant drugs, such as warfarin, rivaroxaban, etc., with thrombolysis**.