A series of questions about deep venous thrombosis

There are 3 main factors in the formation of deep venous thrombosis.

1 Spinal anesthesia or general anesthesia during venous blood retardation surgery causes peripheral veins to dilate and slow venous flow velocity.

2 Damage to the vein wall.

3 Blood hypercoagulability: This is one of the basic factors that cause venous thrombosis.

Pulmonary embolism is caused by a blood clot falling off.

As for fever. This is a common symptom of deep vein thrombosis. High fever and thrombosis in various parts of the body. The body's own repair is related.

Did the blood clot in the rest of the leg form long ago or after the right leg? All I can say about this problem is that it is gradually formed in the same ** situation. Thrombus detachment also accounts for a certain percentage. It doesn't have anything to do with a one-legged jump

The mortality rate for deep venous thrombosis in the legs is:

Personal humble opinion I wish you a good morning**).

Health needs to be cherished, you are very young, so you may feel that your body is very good, but I want to say, let me ask, do you really think that you can get professional and really useful advice and diagnosis here? Will the real experts come here with nothing to do with your questions?

However, it can be confusing to see a doctor at times. As far as I know about vascular surgery for many years, I would like to give you some advice that you can try, at least it won't hurt you (the following recommendations are sorted by recommended intensity).

1. Go to the vascular surgery department of the best regular hospital you know (it is the best vascular surgery, and the specialty of a big hospital is not necessarily his vascular surgery).

2. If you don't know that the best vascular surgery is **, please take a look at the recommendation.

From my years of experience in vascular surgery, the Department of Vascular Surgery at the East Hospital Affiliated to Tongji University in Shanghai. They are the independent vascular specialty with the most advanced hardware equipment and the most prominent medical technology characteristics in China, and they are one of the few department teams that oppose excessive medical treatment. Their director of vascular surgery, Professor Zhang Qiang, is one of the top experts in varicose veins and deep vein thrombosis in China, and has a prominent reputation in the international and domestic vascular surgery industry.

Provide a photo of the best vascular surgery in the country voted by patients for your reference:

First Place: Department of Vascular Surgery, East Hospital, Tongji University, Shanghai (259 votes).

Second place: Department of Hemangioma Surgery, Henan Provincial People's Hospital (133 votes).

Third place: Department of Vascular Surgery, Zhongshan Hospital, Shanghai (124 votes).

Fourth place: Beijing **** Vascular Surgery Center (116 votes).

Fifth place: Department of Vascular Surgery, Jiangsu Provincial People's Hospital (87 votes).

Sixth place: Department of Vascular and Thyroid Surgery, First Hospital of Sun Yat-sen (82 votes).

7th place: Department of Vascular Surgery, 301 Hospital (69 votes).

8th place: Department of Peripheral Vascular Medicine, Dongzhimen Hospital, Beijing (61 votes).

9th place: Vascular Surgery Center of Fuwai Hospital (59 votes).

10th place: Interventional Vascular Surgery, Peking University Hospital (58 votes).

11th place: Vascular thyroid abdominal wall of Guangdong Provincial People's Hospital (57 votes).

12th place: Department of Cardiac and Vascular Surgery, China-Japan Friendship Hospital (56 votes).

13th place: Department of Peripheral Vascular Diseases, Shandong Provincial Hospital of Traditional Chinese Medicine (49 votes).

14th place: Department of Vascular Surgery, Shanghai Changhai Hospital (47 votes).

3. If you still want to get help from experts on the Internet as soon as possible, then give you a shortcut:

You might as well try to find "Dr. Zhang's personal **" through the country's largest online doctor-patient interaction platform "Good Doctor**", and describe your situation as thoroughly as possible in the "Patient Consultation Area", and you may be able to get Dr. Zhang's help (usually a reply will be available in a day or so).

Venous thrombosis is a blockage of a vein caused by excessive blood viscosity in the vein, often causing varicose veins. Varicose veins are a common disease of the venous system, and the main reason for the formation is that the blood accumulates in the lower limbs due to the maintenance of the same posture for a long time and rarely changes, and the venous pressure is too high due to the destruction of the venous valves over time, resulting in varicose veins. Varicose veins mostly occur in the lower limbs, red or blue, twisted blood vessels like spider webs or earthworms, or hard lumps and nodules like tree tumors appear in the legs**, and the veins are abnormally enlarged, swollen and varicose.

The best principles of venous thrombosis are thrombolysis, anticoagulation, and vasodilation to improve microcirculation. However, if it occurs in a deep intracranial vein and is unconscious, you must see a neurosurgeon as soon as possible. If the patient can't move, you can ask the family to bring all the examination materials to me for a look, and I can help you find the relevant neurosurgeon if needed.

Xi'an Tangdu Hospital - Minimally Invasive Pain Center - Chief Physician Zhang Hongxin.

At present, there is no large-scale investigation on the incidence of deep vein thrombosis and pulmonary embolism in China, and there is a big gap between the prevention and treatment of venous thromboembolic diseases in China and international guidelines.

Quit smoking, because smoking can change the viscosity of the blood, and the blood becomes viscous and easy to stagnate.

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.

1. Internal and environmental factors:

1. Age - the incidence of venous thrombosis increases with age.

2. Long-term bed rest: patients who are immobilized for a long time or surgically immobilized are prone to venous thrombosis due to slow blood flow. The incidence of venous thrombosis in stroke paralysis is significantly higher than in patients without paralysis.

3. Sedentary - long-term sedentary white-collar workers, people who like to play mahjong and surf the Internet for a long time, and those who go out to travel by car, especially those who take planes for a long time, cause "economy class syndrome", that is, deep vein thrombosis of the lower limbs, due to the long time of maintaining the flexion position of the lower limbs. It is also one of the most common causes of idiopathic venous thrombosis in healthy people, and can even lead to pulmonary embolism due to venous thrombosis.

4. Primary hypercoagulability - primary hypercoagulability caused by gene mutations, including some inherited defects of coagulation system proteins.

5. Family history - people with a positive family history of venous thrombosis have a relative risk of venous thrombosis that of ordinary people.

6. Blood type - the risk of thrombosis is higher in patients with blood type A and lower in blood type O. For young women who are taking oral contraceptives or who are pregnant, the effect of blood type is even greater.

7. Obesity - Whether it is a man or a woman, obesity can increase the risk of venous thromboembolism.

II. Surgery and Trauma:

The formation of postoperative and post-traumatic venous thrombosis is related to the patient's age, type of surgery, trauma site, degree of trauma, blood transfusion and immobilization time, etc. Age >40 years, lower extremity surgery or fractures, and large vein injuries may be the cause of deep vein thrombosis of the lower extremities.

3. Disease ** element:

Many systemic or local diseases can affect the normal anticoagulation and coagulation function of the body, and become risk factors for deep vein thrombosis of the lower extremities.

4. Minor injury:

Minor lower extremity injuries, such as mild gastrocnemius tears and ankle sprains, are associated with deep vein thrombosis of the lower extremities. Mild injuries to the lower extremities are common, so this may be an important cause of deep vein thrombosis in the lower extremities. Mild injuries to the lower extremities can lead to reduced mobility or immobilization, and if damage to the blood vessel wall occurs, it can also increase the risk of blood clotting at the site of injury, which may be the reason why mild injuries to the lower extremities increase the risk of venous thrombosis.

Analysis:

There are many causes of venous thrombosis, such as trauma, surgery, pregnancy, childbirth, heart disease, malignant tumors, oral contraceptives and long-term standing, squatting, sedentary, lying down and dampness, etc., which are more commonly caused by various surgical procedures. Its pathological changes are characterized by damage to the venous wall, changes in blood flow and hypercoagulability, which lead to deep vein thrombosis.

Li Guangxin.

Since he was diagnosed with deep vein thrombosis on April 21, he has been hospitalized for 9 weeks**, and his D-dimer value has stabilized at more than 200.

This is the first time in this life to be hospitalized, I have a troublesome disease, unforgettable, hereby make a record of the whole process of hospitalization, always remind yourself that health is the most important happiness.

The process of stool therapy is as follows:

April 21: Hospitalized, prescribed urokinase, safflower, calf, furosemide and anticoagulant belly injections, D dimer value of about 1000.

May 1: Started pushing the foot needle urokinase, stopped the furosemide.

May 4: Stop jujube min playing safflower.

May 11: Get out of bed and walk, and start to practice passive knee tendon pulling.

May 15: D-dimer value is about 430.

May 16: Eat Ogila frustration.

May 18: Stop thrusting needle urokinase.

May 19: Started with only one urokinase, one envy calf, and two belly needles.

May 22: D dimer value of about 660, uric acid value of about 410, start eating black cherrycin.

May 23: Eat and dissipate.

May 31: D dimer value of about 480, uric acid value of about 380.

June 1st: Start eating the spirit of Mai, stop eating and disappear.

June 5: D dimer value of about 340, uric acid value of about 310, stop eating omelafrush.

June 10: Passive stretching of the left knee reaches the same position as the right leg.

June 12: D dimer value of about 270, uric acid value of about 370.

June 19: D dimer value is about 230, uric acid value is about 410.

June 21: Start exercising and riding a bike.

June 23: Discharged from the hospital, started to take Xarelto.