Phlebthrombosis of the lower extremities
Last reviewed: 23.04.2024
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Phlebothrombosis of the lower extremities occurs in patients with severe general diseases, fractures.
Symptoms of phlebothrombosis of lower extremities
There is edema, the superficial veins of the limb become dense, the rear flexion of the foot and the palpation of the calf muscles are accompanied by pain. Cyanosis of the extremity may occur. They note a delayed emptying of the veins of the rear of the foot with a rise of the leg above the horizontal line, a weakening of the pulsation on the foot. The absence of edema does not allow to exclude deep vein thrombosis, which requires phlebography. It should be borne in mind that thrombosis of the superficial veins of the extremities does not pose a danger, while in thrombosis of the deep veins there is a threat of pulmonary embolism.
Treatment of phlebothrombosis of lower extremities
On the limb, an elastic bandage is applied, giving it an elevated position. Sodium heparin is injected intravenously in a dose of 4 000-5 000 IU or from the calculation of 150-600 MEDKGHSUT) due to the risk of further thrombosis. If necessary, analgesia is carried out with narcotic analgesics [1-2% solution of trimeridine (0.1 ml per year of life over the age of 6 months)].
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