BMJ Best Practice

患者指导

Patients with SVT should be advised to continue with normal activities and to keep the affected leg raised when sitting or resting. They should be advised to seek medical attention or come back for follow-up if there is no improvement or if there is worsening of leg symptoms. This may suggest extension into the deep venous system. Similarly, new symptoms of dyspnoea or chest pain should prompt immediate medical attention to rule out pulmonary embolism.

应教育和告知患者,当出现潜在的抗凝和非甾体抗炎药 (NSAID) 治疗相关并发症,或者出现感染性血栓性静脉炎的症状或体征(如发热、脓性分泌物)时,应该就医。

对于 SVT 继发于使用口服避孕药或其他激素制剂的女性患者,通常应建议避免以后再使用这些药物,但使用这些药物的复发风险取决于年龄和其他因素,例如吸烟。

对于在静脉曲张部位发生 SVT 的患者,应告知复发的可能性高,当 SVT 反复发作时,采用手术治疗静脉曲张可能是恰当的。

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