Deep vein thrombosis treatment, how to treat chronic deep vein thrombosis?

The clinical treatment of deep vein thrombosis includes the following aspects: 1Acute phase**:

Elevate the affected limb, appropriately apply drugs that promote venous return and anticoagulant under the guidance of a doctor, and place a filter as soon as possible to prevent the occurrence of pulmonary embolism; 2.Chronic phase**: Drugs that promote venous return, compression stockings, etc., can be used to relieve symptoms.

Heilongjiang Far East Vascular Disease Hospital** lower limb vascular disease is very good!

Deep vein thrombosis refers to the abnormal clotting of blood in the deep veins, which is a disorder of venous return of the lower limbs. Thrombosis usually occurs during immobilization (especially major orthopedic surgery). There are three major factors: slow blood flow, venous wall damage and hypercoagulability.

After thrombosis, except for a few that can be ablated spontaneously or confined to the site of occurrence, most of them will spread to the deep venous trunk of the whole limb, and if they cannot be diagnosed and treated in time, most of them will evolve into thrombosis sequelae, which will affect the quality of life of patients for a long time; In some cases, pulmonary embolism may occur, with extremely serious consequences.

Usually deep vein thrombosis refers to deep vein thrombosis in the lower limbs, because venous thrombosis may also occur in the viscera or other parts, and generally deep vein thrombosis refers to the thrombosis formed from the inferior vena cava of the two legs to the iliac vein, femoral vein, and popliteal vein. In general, deep vein thrombosis is divided into the following three levels:

1. The most dangerous thing about deep vein thrombosis is not the thrombus itself, but the thrombus falling off with the blood flow through the vena cava to the atrium and pulmonary artery to cause fatal pulmonary embolism. Generally, there are many methods, and the more reliable method is anticoagulation, which mainly uses drug anticoagulation, which must be used under the guidance of a doctor, and can also be put into the filter through venous micropuncture to intercept thrombosis;

2. The thrombosis itself: simple anticoagulant drugs cannot eliminate the thrombosis, and the thrombus will still be in the blood vessels, but it will not fall off or stop growing, but it will block the blood in the blood vessels, and in severe cases, it will cause thrombosis sequelae, such as leg swelling, discoloration, and old rotten legs. At present, thrombosis ** directly uses minimally invasive surgery for thrombolysis and thromboaspiration**, and the thrombus is removed as much as possible, and in severe cases, thrombectomy may be required, which should usually be completed within two weeks;

3. If the patient does not remove the thrombus in time, the thrombus will remain in the blood vessels, and after 2 or 3 years, post-thrombotic syndrome will slowly appear, such as swollen legs, old rotten legs, etc., which must be carried out by a professional vascular department**, such as compression stockings, pressure**, vascular re-dredging and taking drugs to assist blood return. If an ulcer develops, it is also necessary to perform **Trauma surgery for ulcers**, etc.

It is recommended that the patient go to the hospital for a deep venography of the lower limbs, and then consider whether to have surgery after the diagnosis is confirmed**, and the specific surgical method should be decided according to the results of the venography.