Prevalência de trombose venosa profunda e embolia pulmonar em tromboflebite superficial de membros inferiores
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Data
2007-08-24
Autores
Sobreira, Marcone Lima [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
A tromboflebite superficial (TS) de membros inferiores é doença de ocorrência comum, estando associada a diversas condições clínicas e cirúrgicas. Historicamente considerada como doença benigna devido à sua localização superficial e ao fácil diagnóstico, o tratamento foi conservador durante muito tempo na grande maioria dos casos. Entretanto, relatos recentes de freqüências altas de complicações tromboembólicas associadas, variando de 22 a 37% para trombose venosa profunda (TVP) e de até 33% para embolia pulmonar (EP), alertaram para a necessidade de abordagens diagnósticas e terapêuticas mais amplas, visando diagnosticar e tratar essas possíveis complicações. A possibilidade da coexistência dessas e de outras desordens sistêmicas (colagenoses, neoplasias, trombofilias) interfere na avaliação e influencia na conduta terapêutica que pode ser clínica, cirúrgica ou combinada. No entanto, devido à falta de ensaios clínicos controlados e, também a uma série de incertezas quanto a sua história natural, o diagnóstico e o tratamento da TS continuam indefinidos. Neste capítulo, foi feita uma revisão da literatura analisando-se a epidemiologia, fisiopatologia, e estado atual do diagnóstico e tratamento da TS.
Superficial thrombophlebitis (ST) of the lower limbs is a commonly occurring disease, and it is associated with various clinical and surgical conditions. Historically considered to be a benign disease due to its superficial location and easy diagnosis, its treatment was, for a long time, conservative in most cases. Nevertheless, recent reports of high frequency and associated thromboembolic complications, which vary from 22 to 37% for deep venous thrombosis (DVT) and up to 33% for pulmonary embolism (PE), have indicated the need for broader diagnostic and therapeutic approaches in order to diagnose and treat such possible complications. The possibility of co-existence of these and other systemic disorders (collagenosis, neoplasia, thrombophilia) interferes with evaluation and influences therapeutic conduct, which may be clinical, surgical or combined. However, due to a lack of controlled clinical assays as well as to a series of uncertainties regarding its natural history, the diagnosis and treatment of ST remain undefined. In this chapter, a literature review was performed analyzing the epidemiology, physiopathology and current status of the diagnosis and treatment of ST.
Superficial thrombophlebitis (ST) of the lower limbs is a commonly occurring disease, and it is associated with various clinical and surgical conditions. Historically considered to be a benign disease due to its superficial location and easy diagnosis, its treatment was, for a long time, conservative in most cases. Nevertheless, recent reports of high frequency and associated thromboembolic complications, which vary from 22 to 37% for deep venous thrombosis (DVT) and up to 33% for pulmonary embolism (PE), have indicated the need for broader diagnostic and therapeutic approaches in order to diagnose and treat such possible complications. The possibility of co-existence of these and other systemic disorders (collagenosis, neoplasia, thrombophilia) interferes with evaluation and influences therapeutic conduct, which may be clinical, surgical or combined. However, due to a lack of controlled clinical assays as well as to a series of uncertainties regarding its natural history, the diagnosis and treatment of ST remain undefined. In this chapter, a literature review was performed analyzing the epidemiology, physiopathology and current status of the diagnosis and treatment of ST.
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Palavras-chave
Trombose, Tromboflebite - Tratamento, Embolia pulmonar
Como citar
SOBREIRA, Marcone Lima. Prevalência de trombose venosa profunda e embolia pulmonar em tromboflebite superficial de membros inferiores. 2007. 108 f. Tese (doutorado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2007.