Case Report (n=5)
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Conservative management with anticoagulation and thrombolysis can improve symptoms in Paget-Schroetter syndrome, though patients remain at risk for pulmonary embolism.
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Supports initial conservative management in Paget-Schroetter syndrome; hypothesis-generating case series leaves open need for randomized trials.
上肢の深部静脈血栓症は稀で，深部静脈の血栓症の1～ 2%とされる．われわれは原発性の腋窩―鎖骨下静脈血栓症（Paget-Schroetter症候群）5名6症例を経験した．主症状は上肢の腫脹で，年齢は21～52歳の平均37±13.16歳，すべて男性であつた．スポーツに関連すると思われたものは1名のみで，他に肉体労動者（トラックの運転手）が1名で，4名は利き腕に発症し，1名は異時性の両側発症であった．ステント療法や頸肋・第一肋骨切除などの除圧加療は行わず，抗凝固剤の投与または抗凝固剤・抗血小板薬の投与，血栓溶解療法などの保存的加療で症状は軽快した．経験症例のうち1症例に異時性の両側の肺塞栓症の合併をみた．
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Shikata et al. (2005) conducted a case report in Primary axillary-subclavian vein thrombosis (Paget-Schroetter syndrome) (n=5). Conservative therapy (anticoagulant, antiplatelet, and thrombolysis) was evaluated on Symptom improvement.
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