Sit for a long time will also fall ill - economy class syndrome

ChengTing China's traditional Chinese medicine academy of sciences wangjing hospital

China's traditional Chinese medicine to

        Case: n.syed (a pseudonym), male, 36 years old, company executives, often on a business trip, two from Europe before the flight back on ten hours, the aircraft will feel left crus abdomen swelling violent, go home and rest for a long time also didn't restore to hospital, crus muscle tenderness obviously, Homans sign is positive, vascular ultrasound examination reealed that lower extremity deep vein thrombosis, be also usually say of "economy class syndrome".

        N.syed condition tell us, sit too long not activities are causing lower extremity deep vein thrombosis, the main reason is not only on a plane, and other such as take the long distance bus, sedentary watch TV, play computer to play mahjong, IT industry and office staff, etc., often sat is ten hours, may also lead to lower limb deep vein thrombosis occurs.

        Lower limb deep vein thrombus is venous thromboembolism in physical performance, venous thromboembolism is refers to the blood in deep intravenous abnormal coagulation, is the venous return the obstacle disease, developing countries an estimated 30 million to 60 million people suffering from the disease. Lower limb deep vein thrombus has been recognized as the most difficult in modern medical treatment and easily life-threatening common disease, the current domestic same supported this disease very seriously, and USES the many kinds of methods to control, in to the people, the early cognitive the disease characteristics and strengthen prevention consciousness is very necessary.

        So, what kind of people likely to suffer from lower extremity deep vein thrombosis? The disease is often in the following cases happened: such as long distance flight or travel by coach, sedentary, stroke, paralysis, old bed, pregnancy or puerperium, smoking, obesity, trauma or fracture limbs braking, surgery and tourniquet application, severe infections, malignant tumor, tumor intravenous chemotherapy, central venous cannula, chronic venous insufficiency, nephrotic syndrome IAL liquid viscosity is too high, platelet anomaly, heart failure, and oral contraceptives, placement artificial prosthesis, myocardial infarction, chronic respiratory disease, etc.

        With lower extremity deep venous thrombosis after the symptoms? Lower limb deep vein thrombus points peripheral and central type two kinds, peripheral deep vein thrombosis more attack crus pain nervous and muscle tenderness, may be associated with ankle joint around the mild swelling, n.syed belong to this type of, this is also lower extremity deep venous thrombosis see more type; The central type deep vein thrombosis is more for inguinal and thigh pain, or diffuse all lower limb pain, may be associated with lower limb pitting edema, inguinal trigonum pain can be obviously touch "shaped objects, limb skin temperature increase and skin color is normal variable depth or appear rubeosis, dark red, purple change, the whole body performance low head, lack of power, fast heart rate.

        Lower limb deep vein thrombus is how to form? N.syed situation is most common, sitting for a long time, lower limb lack of effective movement, cause body in a passive position, muscle loss of active easy shrinks action, venous blood flow driving force to reduce, and the blood flow velocity slows, blood stasis in high pour-point state and pathogenic, the pathogenic mechanism also can explain because sedentary watch TV, see the computer, play CARDS and the IT industry office staff to the cause of the disease.

        In addition, cerebrovascular disease, pregnancy and puerperium women, age patients after surgery, trauma and pain, etc, have to stay in bed for a long time, make the body in a passive position lack of initiative movement and muscle contraction, because venous blood stasis and induce lower extremity deep vein thrombosis.

        Lower limb deep vein thrombus treatment shall be promptly do not delay, the risk is that thromboembolus already from the venous wall fall off, if not rapid control, thromboembolus will along the venous return to the pulmonary artery and pulmonary artery obstruction caused by acute pulmonary embolism, may lead to death, crus formed in the thrombus is the main source of pulmonary thromboembolus, is the birthplace of thrombosis. Used to have a lot of people unknown reason suddenly appeared chest pain, chest distress, rapid death, at that time with no autopsy, most of the clinical diagnosis for other reasons, but in recent years, the scientific research found that there are quite a proportional system for pulmonary embolism cause.

        Prevent lower extremity deep vein thrombosis, should reduce sedentary time, of the job should be regular activities to increase the lower limb muscle active easy shrinks, promote the vein blood circulation and velocity, it is suggested that every two or three hours that sit stand for a walk fifteen to twenty minutes. Must stay in bed for person, can encourage its daily active or in family help back-stretching ankle (hook instep) from 100 to 200 times. In addition daily drinking extra water is also very important, can prevent blood viscosity increases, lower blood high condensation state formation. The treatment is divided into mechanical methods (including stretch hose, foot pump, etc.) and drug way, clinical commonly used medicines have aspirin, warfarin, low molecular heparin, thrombolytic drugs mainly for urokinase and streptokinase, serious patients need to accept vascular surgery, basically have embolectomy, catheter direct thrombolysis, balloon catheter stent placement, etc of endovascular intervention technology, etc.

        There is a record of earlier around vascular disease in TCM, the YiZong JinJian "and" surgical authentic "in all have such as gangrene, gangrene, vascular disease of disease detailed records, think its etiology and pathogenesis is Yin cold resistance complex, haemorrheological nature and blood stasis, blood stasis stagnant blood and blood stasis long turn heat, heat poison supplement hysteresis, the blood loss chemical corrosion and pathogenesis, therapeutic principle to do qi and activate blood circulation, real pain, clearing away heat and toxic material for the law, commonly used drugs have astragalus, system radix aconiti, centipede, earthworm, scorpion, leech, TuYuan, triangular, rhizoma zedoariae, pangolin scales, DeDing, honeysuckle, etc.