abdominal wall thrombophlebitis
Introduction
Brief introduction of abdominal wall thrombophlebitis Abdominal thrombophlebitis is a common disease of venous intimal inflammation caused by thrombosis in the superficial vein of the abdominal wall, and also a common disease of inflammatory pathological changes, also known as Monder's disease. Mondor first reported the disease in 1939, so it is also known as Mondor disease. Mondor has made a careful observation and study of pathology, confirming that the disease is occlusive endometritis. basic knowledge The proportion of the disease: the incidence rate of people over 50 years old is about 0.004% - 0.006% Susceptible people: no special people Mode of infection: non-infectious Complications: phlebitis
Cause
Causes of abdominal wall thrombophlebitis
Trauma (50%)
The cause of the disease is unknown. There is often a history of traumatic injury caused by erosion of external objects. Such as breast surgery, abscess incision and partial compression.
Infection (45%)
Bacteria, viruses, parasites, fungi, viroids, or even infectious diseases that are pathogenic, but not biological, such as puer protein. Infectious allergies such as tuberculosis, colds and hepatitis can cause this disease.
Pathogenesis
In the pathological specimens of early cases, the degeneration reactivity of the vessel wall was observed. There was lymphoid material in the lumen of the cord, no red blood cell components, and lack of muscle fibers and elastic fibers, so it was considered to be caused by mild inflammation of lymphatic vessels. Through domestic pathological observation, Zhang et al found that there are degenerative red blood cells and fresh blood clots in the lumen of acute cases. Therefore, this disease is considered to be a venous endothelium lesion caused by venous thrombosis, and the course of disease varies from 15 days to 15 months.
Prevention
Abdominal wall thrombophlebitis prevention
Pay attention to safety in production and life, and try to avoid trauma. Pay attention to rest, work and rest, prevent infection, once the disease occurs, timely treatment, early detection, early diagnosis, early treatment is the key to prevention.
Complication
Complications of abdominal wall thrombophlebitis Complications phlebitis
1 extended venous thrombosis: such as calf vein thrombosis has the possibility of developing upward to the femoral, hernia and even the inferior vena cava;
2 thromboembolism: such as pulmonary embolism, can occur within a few hours or days after thrombosis;
3 chronic venous insufficiency after phlebitis: When the venous valve is seriously damaged, the collateral circulation is not fully established, that is, it is prone to serious conditions, first of all, edema in the lower leg, varicose varicose, skin pigmentation, and finally sclerosing dermatitis , stasis subcutaneous sclerosis and stasis ulcers.
Symptom
Abdominal wall thrombotic venous symptoms Common symptoms The chest and abdomen wall is shallow in the strip... The outer wall of the abdominal wall is a block... The burn wound is esoteric... The abdominal wall venous anger
1. In the early stage of the onset of the strip, there is one shallow and small sling in the chest and abdomen wall, which will gradually extend later. The upper abdominal wall can be extended to the chest wall to reach the armpit; the lower abdominal wall is moved to the groin.
2. Pain: At the same time as the discovery of the cord, the patient often suffers from spontaneous pain or pain during the activity, which becomes the cause of the patient's visit. The elderly may also have no symptoms.
3. The chest and abdomen wall can be seen under the skin, the skin is light and hard, and there is no redness and swelling. When one end of the cable is tightened with a finger, a concave shallow groove can appear on the skin, such as tightening the ends, on the skin. There may be a spur-like bulge, with localized degrees of tenderness.
Most patients have a chest pain in the chest and abdomen with spontaneous pain or activity. The short course of the disease has spontaneous pain.
Examine
Examination of abdominal wall thrombophlebitis
1. Routine examination: the chest and abdomen wall can be seen under the skin, the skin is shallow, the quality is hard, and there is no redness and swelling. When one end of the cable is tightened with a finger, a shallow ditch of the skin can appear on the skin, such as tightening the ends. A cord-like bulge may appear on the skin, with localized varying degrees of tenderness.
Most patients have a chest pain in the chest and abdomen with spontaneous pain or activity. The short course of the disease has spontaneous pain.
2, abdominal wall thrombophlebitis examination: superficial or ultra-echo tubular structure in the subcutaneous fat of the lesion area indicated by superficial vein ultrasound.
3, histopathological examination: for non-specific thrombophlebitis.
Diagnosis
Diagnosis and diagnosis of abdominal wall thrombophlebitis
diagnosis:
Most patients see a doctor because they find that the chest and abdomen wall is shallow and the cord is accompanied by spontaneous pain or activity. The specific performance is that the chest and abdomen wall can be seen under the skin, the skin is light and hard, and there is no redness and swelling. When one end of the cable is tightened with a finger, a concave shallow groove can appear on the skin, such as tightening the ends at the skin. There may be a spur-like bulge on the top, and there may be partial tenderness in the local extent.
Differential diagnosis:
Epidemic myalgia: The total number of white blood cells in peripheral blood is normal or slightly increased. Virus isolation is the primary method of diagnosis, with the advantages of savings, speed and accuracy, while avoiding the susceptibility of the serotypes encountered in serological methods for diagnosis.
And identification of intercostal neuralgia, chest and abdominal muscle strain.
