What is deep vein thrombosis: deep vein thrombosis is a common disease in vascular surgery, the incidence is increasing in recent years, mostly in the lower limbs, commonly speaking, it is a long thrombosis in the deep veins of the lower limbs, and the veins are the blood that consumes oxygen from the peripheral capillaries is re-sent back to the pulmonary arteries for oxygenation, and then sent to the heart to pump to the peripheral arteries. The deep veins of the lower limbs are the main arteries of venous blood return to the pulmonary arteries, if it is blocked, the blood return is obviously obstructed, and it leaks back into the tissue interstices, causing a series of symptoms such as sudden swelling of the lower limbs (mostly unilateral limbs), dark skin color, and compensatory expansion of superficial veins. Because domestic patients see the doctor mostly do not pay attention to the swelling, especially non-serious swelling, at first often do not pay attention to it, dragging a few days, not good, consulting local clinics or small hospitals, these hospitals do not know enough about vascular surgery disease, easy to lose treatment and mis-treatment, delay the best treatment time, because the earlier the thrombosis treatment effect is better.
What are the causes of the formation of venous thrombosis: common ones are surgery, trauma, bed rest, sedentary travel, tumor, immune system, and varicose veins or inflammatory lesions, and of course, high blood sugar, high blood lipids, and oral consumption of certain drugs can also increase the risk of thrombosis.
Two major hazards of lower extremity deep vein thrombosis.
1, thrombus dislodged and drifted to the pulmonary artery, large pieces can cause sudden death, the survival rate of rescue is not high.
2, late thrombosis, venous reflux obstruction can not be improved, the limbs appear swelling, heavy, discoloration, superficial varicose veins, and even ulceration, long-term torture, the patient pain.
What to do if you get lower extremity deep vein thrombosis: after the diagnosis, it is recommended to go to a specialized hospital with vascular surgery for active treatment in the acute stage, in order to dissolve the formed thrombus, control the spread of thrombus, and more importantly, prevent its dislodgement; after the condition is stabilized and discharged from the hospital, it is recommended to standardize the treatment and maintenance for a period of time, so that the thrombus can gradually shrink and the collateral circulation can be gradually established, about 1 year-1.5 years (to insist on yo).
Absolute indications.
1. Patients who have had pulmonary embolism or inferior vena cava or iliofemoral N vein thrombosis have one of the following conditions.
(1) Those who have contraindications to anticoagulation therapy.
(2) Complications such as bleeding during anticoagulation therapy.
(3) Pulmonary artery embolism recurs even after adequate anticoagulation therapy and those who cannot achieve adequate anticoagulation for various reasons.
2.Pulmonary artery embolism and the presence of lower extremity deep vein thrombosis.
3.Free thrombus or massive thrombus in iliac, femoral vein or inferior vena cava.
4, Diagnosis of easy embolism and repeated pulmonary artery embolism.
5.Acute lower extremity deep vein thrombosis, who want to perform transcatheter thrombolysis and thrombus removal.
Relative indications: mainly for prophylactic filter placement, which should be chosen with caution.
1, severe trauma with or likely to occur lower extremity deep vein thrombosis, including.
(1) closed craniocerebral injury.
(2) spinal cord injury.
(3) multiple long bone fractures or pelvic fractures of the lower extremities, etc.
2.Critical cardiopulmonary reserve with lower extremity deep vein thrombosis.
3, chronic pulmonary hypertension with hypercoagulable state.
4, Patients with high risk factors, such as long-term limb braking, intensive care patients.
5, advanced age, long-term bed-ridden with hypercoagulable state.
How to eat Western medicine: acute hospitalization for about 2 weeks according to the condition can be discharged, but the trouble has just begun, Western medical specialist will recommend that you take oral anticoagulants, currently commonly used two, one is warfarin sodium tablets, very cheap, slow onset of action, but the initial need for frequent blood tests, in an effort to achieve good anticoagulation indicators, affected by diet and drugs, the risk of bleeding is higher, but the effect of good adjustment is also good. The other is Rivaroxaban tablets (Bactrim), which have a fast onset of action, low risk of bleeding, and no need to monitor coagulation indicators, but are more expensive. It is usually taken orally for 3 months to 1 year, depending on the condition. There is another class of drugs that improve venous reflux, such as Veritin extended-release tablets and Myzolyn.
The treatment of thousands of patients proves that the individualized treatment of TCM is effective in stabilizing and dissolving the thrombus in the acute stage; the chronic stage has obvious advantages in promoting revascularization, improving the function of veins and promoting the establishment of collateral circulation, which obviously reduces the occurrence of thrombus. The chronic phase has obvious advantages in promoting revascularization, improving venous function and promoting the establishment of collateral circulation, which significantly reduces the occurrence of post-thrombotic syndrome and greatly improves patients’ quality of life.
Care and diet: in the acute stage: light diet, relaxed mood, keep the second stool open, elevate the affected limb, avoid squeezing massage and heat therapy; in the chronic stage: appropriate exercise, reassuring qi regulation, horse stance.