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Tromboflebitis - Treatment

Nombres alternativos

Flebitis

Tratamiento:

En general, el tratamiento puede comprender medias de soporte y vendas para reducir la molestia, al igual que medicamentos como:

  • Analgésicos (medicamentos para el dolor)
  • Antibióticos (si se presenta infección)
  • Anticoagulantes para prevenir la formación de nuevos coágulos
  • Antinflamatorios no esteroides (AINES), como el ibuprofeno, para reducir el dolor y la inflamación
  • Trombolíticos para disolver un coágulo existente

A la persona se le puede pedir que haga lo siguiente:

  • Evitar presionar el área para reducir el dolor y disminuir el riesgo de un daño mayor
  • Levantar el área afectada para reducir la inflamación

La extirpación quirúrgica, remoción o derivación de la vena rara vez se necesita, pero se puede recomendar en algunas situaciones.

Para obtener recomendaciones más específicas, ver la afección particular (tromboflebitis superficial o trombosis venosa profunda).

Expectativas (pronóstico):

La tromboflebitis y otras formas de flebitis usualmente responden a un tratamiento médico rápido.

Complicaciones:

La tromboflebitis superficial rara vez causa complicaciones.

Las complicaciones de la trombosis venosa profunda comprenden coágulos de sangre en los pulmones (embolia pulmonar) o dolor crónico e hinchazón en la pierna.

Situaciones que requieren asistencia médica:

La persona debe consultar con el médico si tiene síntomas de tromboflebitis.

Igualmente, llamar al médico inmediatamente si tiene tromboflebitis y los síntomas no mejoran con el tratamiento, si los síntomas empeoran o si se presentan nuevos síntomas como, por ejemplo, toda una extremidad se vuelve pálida, fría o se inflama.

  • Reviewed last on: 5/6/2011
  • A.D.A.M. Editorial Team: David Zieve, MD, MHA, and David R. Eltz. Previously reviewed by Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine (5/10/2010).

Referencias

Lim W, Crowther MA, Ginsberg JS. Venous thromboembolism. In: Hoffman R, Benz EJ, Shattil SS, et al, eds. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2008:chap 135.

DeLoughery TG. Venous Thrombotic Emergencies. Emergency Medicine Clinics of North America. August 2009;27(3).

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