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一、病例介绍 患者女32岁,1998年2月实行女性绝育术。术前自述感冒、咳嗽未愈,术后下腹部及左侧下肢疼痛、左侧大腿逐渐水肿,活动不便,第5天时下肢水肿明显,活动困难,疼痛加剧。急诊住市医院治疗,入院检查,T37.8℃,P87次/分,BP14/10kPa,痛苦面容,头颅五官端正,胸廓对称,心辨膜区未闻及杂音,双肺呼吸音清晰,未闻及干、湿罗音,腹平坦,下腹正中距耻骨联合约7cm处有一横切口疤痕,左侧下肢明显水肿,大腿内侧明显压痛,关节活动困难。诊断,左髂股静脉血栓形成。经保守治疗痊愈出院。
First, the case description Female 32-year-old female, in February 1998 the implementation of female sterilization. Preoperative report a cold, cough healed postoperative lower abdomen and left lower extremity pain, left thigh gradually edema, activity inconvenience, the 5th day when the lower extremity edema, difficulty in activities, increased pain. Emergency city hospital treatment, admission examination, T37.8 ℃, P87 beats / min, BP14 / 10kPa, painful face, head and facial features, symmetry of the thorax, cardiac membrane area did not smell and noise, lung breath sounds clear, unheard of And dry, wet rales, flat belly, the middle of the lower abdomen from the pubic symphysis at about 7cm at a transverse incision scarring, left lower extremity obvious edema, the inner thigh was tender tenderness, joint activity difficulties. Diagnosis, left iliac femoral vein thrombosis. After conservative treatment cured.