Symptoms of superficial phlebitis

summary

Because of the difference of etiology, pathology and clinical characteristics, it is called benign thrombophlebitis. Intermittent and recurrent superficial thrombophlebitis is called migratory superficial phlebitis. Symptoms of superficial phlebitis? Let's talk about it

Symptoms of superficial phlebitis

Most of them were vasospasm. The symptoms included insufficient arterial blood supply, cold extremities, fear of cold and intermittent claudication. A few patients may be accompanied by superficial vagal phlebitis. The pulsation of posterior tibial artery and dorsalis pedis artery of the affected limb decreased significantly; Skin temperature was lower than normal; Buerger sign was positive; The filling time of dorsalis pedis vein was prolonged.

At this stage, besides the aggravation of vasospasm, there are obvious thickening of vascular wall and thrombosis, often with resting pain, slow growth of toenails, thickening and deformation, dry, thin and pale skin, hair shedding and muscle atrophy. Muscle convulsions are common, especially at night. The pulse of posterior tibial artery and dorsal pedis artery disappeared; Buerger sign was positive; The filling time of dorsalis pedis vein was further prolonged.

The artery of the affected limb was completely occluded and dry gangrene occurred in the distal part of the limb. The skin is dark red or dark brown, and gradually expands upward to form a long-lasting ulcer. If the disease continues to develop, one or more toes gangrene may appear, and turn into wet gangrene after secondary infection. This period of patients with severe pain, often sleepless all night, kneeling to hold the foot for this period of typical position.

matters needing attention

For this kind of disease, its treatment principle is to first use vasospasm, promote our collateral circulation, establish and prevent local infection, try our best to save our limbs and reduce the degree of disability. The main treatment is drug therapy. Drugs are generally low molecular weight, glycosides or broad-spectrum antibiotics, Some serious patients also need to take some surgical treatment.