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Phlebothrombosis of the lower extremities
Last reviewed: 07.07.2025
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Phlebothrombosis of the lower extremities occurs in patients with severe general diseases and fractures.
Symptoms of phlebothrombosis of the lower extremities
Edema occurs, the superficial veins of the limb become dense, dorsiflexion of the foot and palpation of the calf muscles are accompanied by pain. Cyanosis of the limb may occur. Slow emptying of the veins of the dorsum of the foot when raising the leg above the horizontal line, weakening of the pulsation in the foot are noted. The absence of edema does not allow us to exclude deep vein thrombosis, which requires phlebography. It should be borne in mind that thrombosis of the superficial veins of the limbs does not pose a danger, while with deep vein thrombosis there is a risk of pulmonary embolism.
Treatment of phlebothrombosis of the lower extremities
An elastic bandage is applied to the limb, giving it an elevated position. Sodium heparin is administered intravenously by jet stream at a dose of 4,000-5,000 IU or at the rate of 150-600 IU/kg/day) due to the risk of further thrombus formation. If necessary, pain relief is carried out with narcotic analgesics [a 1-2% solution of trimeperidine is administered (0.1 ml per year of life at the age of over 6 months)].
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