Duboka venska tromboza (Trombophlebitis profunda) spada u najčešće bolesti perifernog venskog sistema. Zapaljenjski proces i stvaranje tromba u dubokim venama su usko povezani i isprepletani tako da ova bolest ima dvojak naziv.
Uzrok nastanka![Venska tromboza.jpg Duboka venska tromboza](data:image/jpeg;base64,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Wirchowljev trijas – staza, povreda venskog zida i hiperkoagulabilnost imaju najveći značaj u ovoj teškoj bolesti. Bolest se javlja posle porođaja, kod operisanih bolesnika, u toku imobilizacije, kod operisanih bolesnika, u toku duge imobilizacije, kod izvesnih hematoloških i malignih bolesti, u slučaju dehidratacije, primene oralnih estrogenih kontraceptivnih sredstava, u slučaju kompresije na proksimalni deo venskog sistema i u drugim poremećajima. Duboka venska tromboza se znatno češće javlja na donjim ekstremitetima.
Klinička slika
Bolesnici se žale na otok, napetost, bol u ekstremitetu ili delu ekstremiteta. Ekstremitet je otečen, koža može biti bleđa, staklasta i osetljiva na pritisak. Obim ekstremiteta je povećan. Znaci zapaljenja se manifestuju leukocitozom i ubrzanom sedimentacijom. Najteža komplikacija duboke venske tromboze je plućna embolija.
Dijagnoza
Postavlja se na osnovu anamneze, kliničke slike, objektivnog nalaza, laboratorijskih analiza, doplera krvnih sudova, scintigrafije, flebografije.
Lečenje
Duboka venska tromboza zahteva hospitalizaciju i intezivnu negu prvih dana. Sprovodi se kontinuirano davanje heparina, zatim oralna antikoagulantna terapija. Fibrinolitička terapija se primenjuje u težim slučajevima kada postoji velika opasnost od nastanka plućne embolije. Noga treba da je lako elevirana, a preporučuje se i nošenje kompresivnih čarapa.
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Bolesti