Kramer, David W.
October 1960
Angiology;Oct1960 Part 1, Vol. 11 Issue 5, p371
Academic Journal
Thromboembolism is suggested as a term for pathological changes in the veins as a distinction from arterial thrombosis. The incidence of thromboembolism is undoubtedly on the increase. The relative status of thrombophlebitis versus phlebothrombosis was discussed. The etiology of tbromboembolism may be divided into two groups: the basic causes such as trauma, changes in the blood and slowing up of the blood stream; and the contributory factors such as surgical procedures (postoperative), pregnancy, infections, heart disease (particularly in the aged) and malignancy. The diagnosis of thrombophlebitis may be made on the various symptoms and physical examination. In the differential diagnosis there are not many problems, but emphasis was given to the thrombus of the popliteal vein and its difference from embolic occlusion of the popliteal artery. In cases where there is considerable swelling, the problem of differential diagnosis is between extensive edema in the chronic pblebitic syndrome versus primary lymphedema. The management of acute thrombophlebitis was briefly discussed, and the treatment of the chronic recurring thromboembolism or the postphlebitic syndrome was also mentioned in this group, besides the conventional therapy which included coagulants. Stress was laid on modified diets when indicated by family history, particularly the presence of high cholesterol or antiuric acid levels, and trypsin therapy was found to be helpful in patients with considerable induration or perivenous inflammation. The prevention of tbromboembolism and the postphlebitic syndrome was also discussed, as well as a brief comment on the possible detection of tbromboembolism and the possible selection of such cases who are candidates or who are more liable to develop tbromboembolism.


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