As the old saying goes, Nowadays, the transportation is convenient, The speed of the high-speed railway has exceeded 300 yards per hour, The gathering of relatives and friends is also a matter of a word. This is not, the Mid-Autumn Festival is coming, the young man Mr Ye and his friends have dinner and drink, which Chengxiang gastrointestinal tract is no longer the fierce of that year [one and a half kilos of white wine, beer casually filled]. Xu cup crisscrossed, after the wine yinhuan, acute gastroenteritis attack, then went to the community hospital hung up a few bottles of intravenous drip.
After the intravenous drip, a red [thin line] appeared on the back of the hand and forearm along the blood vessels, which felt hard and painful. The community doctor told him that this was [vasculitis] and might require surgery, so he went to the vascular surgery department of the big hospital to see a doctor.
Mr. Ye came to vascular surgery. The vascular surgeon told him that this was called [thrombotic superficial phlebitis] and did not need surgical treatment. He prescribed some aspirin to diminish inflammation and relieve pain, and then applied some ointment locally. After a few days, the pain gradually disappeared and the hard lump gradually softened and absorbed.
But Mr. Ye is still not at ease.
This [vasculitis] can be cured with such a little medicine?
Will it recur in the future?
Is this [vasculitis] a what thing?
In order to dispel Mr. Ye’s doubts, let’s first look at what as superficial thrombophlebitis. Finally, let’s briefly introduce that what is what is called “vasculitis” in medicine.
What is thrombotic superficial phlebitis?
As the name implies, thrombosis and inflammation occur in superficial veins of the human body.
- Thrombus blocks a vein, causing venous reflux to be affected, and the blood vessel becomes felt [hard]; Inflammation occurs in blood vessels, causing redness, swelling, heat and pain in veins and surrounding tissues.
When the two are added together, a red [thin line] will appear on the surface of the human body (usually found in limbs), which is consistent with the direction of veins, but there is generally no bacterial infection.
Can superficial thrombophlebitis occur in what?
There are many factors causing superficial thrombophlebitis. The most common is caused by injecting drugs from the arm vein when people hang intravenous drip.
This is because, for some people, intravenous drip drugs will stimulate the blood vessel wall and cause inflammation.
Other information can also be found in:
- Superficial varicose veins; Trauma or infection; Radiotherapy and chemotherapy; Burns; Long-term oral contraceptives; Occasionally, it is also a concomitant reaction of malignant tumors.
For patients with recurrent superficial thrombophlebitis, we have a specific name, called [migratory superficial thrombophlebitis], which may indicate malignant tumor or thromboangiitis obliterans.
Is thrombotic superficial phlebitis harmful to what?
Recurrent attacks usually indicate specific diseases, and very few patients may cause deep vein thrombosis or even pulmonary embolism due to the spread of thrombosis (this is relatively rare). Generally speaking, inflammation is mostly limited to the superficial vein of the disease without systemic response.
Which tests can judge superficial thrombophlebitis?
Generally, diagnosis can be made according to clinical manifestations and medical history. Doctors usually require patients to check blood routine to eliminate bacterial infection. The location of thrombus and the presence or absence of deep vein thrombosis can also be determined by Doppler vascular color Doppler ultrasound.
How to treat thrombotic superficial phlebitis?
For patients with mild local symptoms in the early stage, medical workers will change intravenous infusion drugs or stop taking drugs.
For the symptoms of redness and swelling, oral drugs can be used to diminish inflammation and relieve pain, local hot compress or apply some external ointment. Generally, it can be cured in 1-2 weeks, and the course of the disease needs 3-4 weeks for the elderly.
The following situations need attention:
1. If the induration cannot soften and absorb after the inflammation subsides, the induration can be removed under local anesthesia;
2. Patients with varicose veins can consider minimally invasive treatment, such as laser treatment, sclerosing agent injection, etc. Especially for the situation where thrombosis may spread to the deep venous system, further evaluation and treatment are needed.
3. For migratory superficial thrombophlebitis, especially for those of unknown causes, we should be more vigilant and exclude malignant tumors and thromboangiitis obliterans.
What is the real vasculitis in medicine.
For ordinary people, the concept of [vasculitis] is very extensive, and almost all vascular-related diseases can be dubbed by this term, such as superficial thrombophlebitis, varicose veins, thromboangiitis obliterans, Takayasu arteritis, atherosclerosis obliterans, etc.
The so-called “vasculitis” in medicine refers specifically to “thromboangiitis obliterans”, which is a specific disease and a pathological change of small and medium arteries and veins in the whole body, with young and middle-aged male smokers being the most common.
In addition to the symptoms of superficial thrombophlebitis, they will also have symptoms of chills in their limbs. At first, most patients did not pay attention to it until their fingers or toes were painful or festered and blackened.
In the late stage of pathological changes, severe ischemia of limbs will occur. When you don’t walk, you will also show extremely serious pain, and the wound surface is difficult to heal after injury or paronychia is pulled out. Patients with serious symptoms often sit with their knees tucked all day long, sleepless at night and miserable.
[Thromboangiitis obliterans] is much more complicated in treatment than [superficial thrombophlebitis], but quitting smoking is the key. Subsequent treatment still needs comprehensive evaluation and analysis by doctors, so it is necessary to quit smoking and treat early.
Responsible Editor: Huang Lijia