Recently, the Department of General Surgery of the Third Hospital of Beijing University of Chinese Medicine has successfully completed the treatment of patients with deep vein thrombosis of the lower limbs with pulmonary embolism through the application of vascular interventional technology, which also means that the Department of General Surgery of our hospital can carry out comprehensive diagnosis and treatment of patients with critical and severe vascular diseases through the application of vascular intervention technology under the leadership of Director Duan Jiajia.
The patient was an elderly woman with recurrent thrombophlebitis of saphenous varices, and was admitted to the hospital with sudden edema of the right lower limb with dyspnea and coughing up pink sputum. Combined with the patient's symptoms and related examination results, the diagnosis of deep vein thrombosis in the right lower extremity was clear, and combined with the symptoms of dyspnea and coughing up pink sputum, it was considered that the combination of deep vein thrombosis detachment led to acute pulmonary embolism was more likely. First, in order to avoid further detachment of blood clots in the lower extremities and aggravation of pulmonary embolism, the patient was placed with an inferior vena cava filter. Subsequently, pulmonary artery vascular contrast-enhanced CT examination was completed to confirm the patient's bilateral pulmonary artery thrombosis, in which the right pulmonary artery thrombus was mainly located in the main trunk. Based on the results of the examination, Director Duan Jiajia of the Department of General Surgery applied thrombus aspiration technology to aspirate pulmonary artery thrombosis and deep vein thrombosis of the right lower limb at the same time**. After that, the patient's pulmonary symptoms and lower limb edema symptoms were significantly relieved, and he was successfully discharged.
Deep vein thrombosis (DVT) of the lower extremities is a common vascular disease that occurs mainly in the deep veins of the lower extremities. The main causes of DVT are slow blood flow due to long-term bed rest, varicose veins, tumors, etc., and blood coagulation in the veins to form solid blocks, which eventually leads to obstruction of blood circulation. Symptoms of DVT include leg pain, swelling, redness, and increased temperature, among others. If left unprompted**, DVT can lead to serious complications such as pulmonary embolism. Pulmonary embolism (PE) is a serious condition that occurs in the pulmonary arteries or their branches. DVT is the main cause of pulmonary embolism, in which a deep vein thrombosis breaks off and travels with the bloodstream into the pulmonary arteries, resulting in pulmonary embolism. Symptoms of pulmonary embolism include dyspnea, chest pain, cough, coughing up blood, palpitations, syncope, etc. If left unchecked**, pulmonary embolism can lead to serious complications such as difficulty breathing, heart failure, shock, and even death. Diagnosing pulmonary embolism usually requires imaging tests such as CT pulmonary angiography or echocardiography**. Methods of pulmonary embolization include anticoagulation**, thrombolysis**, and surgery**.
Duan Jiajia, director of the Department of General Surgery of the Third Hospital of Beijing Chinese Medicine, has been engaged in vascular intervention and general surgery for many years, and has accumulated rich experience in interventional surgery, and is good at the diagnosis and treatment of common and high-incidence diseases in general surgery, such as peripheral vascular minimally invasive intervention and gastrointestinal tumors. Recently, under the leadership of Director Duan Jiajia, the Department of General Surgery of our hospital has successfully carried out a number of interventional operations**, involving abdominal aortic aneurysm, arteriosclerosis occlusion, arterial thrombosis, venous thrombosis, tumor intervention and other vascular acute and chronic diseases, and more interventional surgeries will be carried out in the future work to better relieve the pain of patients.