Chronic Venous Insufficiency and Varicose Veins

被引:105
|
作者
Raju, Seshadri [1 ]
Neglen, Peter [1 ]
机构
[1] Univ Mississippi, Med Ctr, Jackson, MS USA
来源
NEW ENGLAND JOURNAL OF MEDICINE | 2009年 / 360卷 / 22期
关键词
ELASTIC COMPRESSION STOCKINGS; VALVE RECONSTRUCTION; ILIAC VEIN; PATIENT COMPLIANCE; FOLLOW-UP; ENDOVENOUS TREATMENT; OUTFLOW OBSTRUCTION; DISEASE; ULCERS; SURGERY;
D O I
10.1056/NEJMcp0802444
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 52-year-old receptionist presents with an ulcer on her ankle that has persisted for a year. The use of narcotic analgesics once or twice a day and elevation of the leg reduce the pain. She does not have a history of diabetes and does not smoke. Physical examination reveals an ulcer, approximately 5 cm in diameter, above the medial malleolus. The ulcer has a clean bed of granulation and is surrounded by hyperpigmented skin. Pedal pulses are easily palpable. How should she be evaluated and treated?
引用
收藏
页码:2319 / 2327
页数:9
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