外伤后左下肢深静脉血栓形成伴发肺栓塞合并髂静脉压迫综合征法医学鉴定1例  

Forensic identification of deep vein thrombosis of the left lower extremity accompanied by pulmonary embolism and iliac vein compression syndrome after trauma:a case report

作　　者：李巨臣 LI Ju-chen(Institute of Forensic Expertise,Changzhou Wujin People's Hospital,Changzhou 213000,China)

机构地区：[1]常州市武进人民医院司法鉴定所,213000

出　　处：《中国实用医药》2024年第7期145-148,共4页China Practical Medicine

摘　　要：下肢深静脉血栓是道路交通事故损伤后常见的并发症之一,外伤、手术及术后制动可引起血流减慢、血液凝固性增高,是深静脉血栓形成常见的继发性危险因素。而自身病变也可以是深静脉血栓形成的不利因素,但是在司法鉴定过程中往往会被忽略。本文通过1例外伤后左下肢深静脉血栓形成伴发肺栓塞合并自身髂静脉压迫综合征的案例,从病因机制、病程转归、症状体征、影像学表现等方面分析交通事故与下肢深静脉血栓形成的关系,为法院审理民事赔偿案件、化解社会矛盾提供更有效的依据。Deep vein thrombosis of lower extremity is one of the common complications after road traffic accident.Trauma,surgery and postoperative braking can cause slowed blood flow and increased blood coagulability,which are common secondary risk factors for deep vein thrombosis.Autopathy can also be a negative factor for deep vein thrombosis,but it is often ignored in the process of judicial identification.This paper analyzes the relationship between traffic accidents and deep vein thrombosis of lower extremity from the aspects of etiology,course and prognosis,symptoms and signs,and imaging findings through 1 case of deep vein thrombosis of the left lower extremity accompanied by pulmonary embolism and iliac vein compression syndrome after trauma,so as to provide a more effective basis for the court to hear civil compensation cases and resolve social conflicts.

关 键 词：左下肢深静脉血栓 法医临床学 髂静脉压迫综合征 肺栓塞 因果关系 

分 类 号：D919.4[医药卫生—法医学]