Vnitr Lek 1991, 37(2):116-121

[Pseudophlebothromobsis].

M Emmerová, M Heidenreichová, J Steinigerová, Z Chudácek: I. interní klinika LF UK Plzen.

Klíčová slova: Aged; Anticoagulants, adverse effects, ; Diagnosis, Differential; Female; Hemorrhage, chemically induced, ; Humans; Leg, blood supply, ; Male; Middle Aged; Thrombophlebitis, diagnosis,

Rational antithrombotic treatment in vascular occlusions is a marked advance in the therapeutic results, incl. reduced mortality. The prerequisite of success is early adequate thrombolytic or anticoagulant treatment taking into account absolute and relative contraindications. Despite this it is necessary to foresee the risk of haemorrhagic complications and orientate diagnosis with the aspect in mind. As an example three case-histories are presented, their common sign being haemorrhage into the lower extremities during antithrombotic treatment. Attention is drawn to the difficulty of differential diagnosis of venous thrombosis and haemorrhage into muscles or intermuscular spaces where at a given site computer tomography is a great asset. In the treatment in addition to surgical intervention in particular hyperbaric oxygen therapy proves useful.