医学
红细胞增多症
血栓
栓塞
动脉栓塞
外科
栓子切除术
股动脉
心脏病学
动脉
内科学
肺栓塞
作者
A. P. Barabas,Daniel Offen,E Meinhard
标识
DOI:10.1002/bjs.1800600305
摘要
Abstract Of 200 patients referred for management of polycythaemia vera, 98 (49 per cent) had presented with vascular complications and 68 (34 per cent) of these involved arteries. Transient but recurrent cerebrovascular accidents and digital artery occlusions were the typical arterial complications. If polycythaemia was not promptly treated there was a risk of perimanent hemiplegia, monocular blindness, and severe ischaemia of the leg. Embolism may have accounted for some of the arterial complications. A possible source for emboli—a proximal mural thrombus—was demonstrated in all 5 patients who were examined with femoral arteriography and in 2 patients who underwent surgery. In selected cases thrombectomy may be indicated to prevent further embolism.
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