中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (8): 601-603.doi: 10.12144/zgmfskin202508601

• 病例报告 • 上一篇    下一篇

下肢丹毒并发肺血栓栓塞一例

丁建1,宁勇2,乔锰3,张文娟4,张佩佩5,李竹清6,牛贵业7,8   

  1. 1山东省立第三医院烧伤整形科，山东济南，250031； 2武警山东总队医院烧伤整形科，山东济南，250014； 3山东第一医科大学第一附属医院皮肤科，山东济南，250000； 4济宁医学院临床医学院，山东济宁，272067； 5山东第一医科大学第一附属医院超声科，山东济南，250000； 6山东第二医科大学临床医学院，山东潍坊，261053； 7山东第一医科大学附属皮肤病医院，山东济南，250022; 8山东省皮肤病性病防治研究所，山东济南，250022
  • 出版日期:2025-08-15 发布日期:2025-08-01

Lower limb erysipelas complicated with pulmonary thromboembolism: a case report

DING Jian1, NING Yong2, QIAO Meng3, ZHANG Wenjuan4, ZHANG Peipei5, LI Zhuqing6, NIU Guiye7,8   

  1. 1 Department of Burn and Plastic Surgery, Shandong Provincial Third Hospital, Jinan 250031, China; 2 Department of Burn and Plastic Surgery, The Armed Police Forces Hospital of Shandong, Jinan 250014, China; 3 Department of Dermatology, The First Affiliated Hospital of Shandong First Medical University, Jinan 250000, China; 4 School of Clinical Medicine, Jining Medical University, Jining 272067, China; 5 Department of Ultrasonography, The First Affiliated Hospital of Shandong First Medical University, Jinan 250000, China; 6 School of Clinical Medicine, Shandong Second Medical University, Weifang 261053, China; 7 Hospital for Skin Diseases, Shandong First Medical University, Jinan 250022, China; 8 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2025-08-15 Published:2025-08-01

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摘要： 丹毒并发肺血栓栓塞临床少见，本文报道一例。患者，男，68岁。右下肢红肿热痛4天，诊断为丹毒。入院后检查发现右下肢深静脉血栓，丹毒治疗期间出现右侧胸痛、呼吸困难，检查确诊为右肺动脉栓塞。转入血管外科行下腔静脉滤器植入+肺动脉插管溶栓术，术后恢复好。随访4年，无复发。

关键词: 丹毒, 肺血栓栓塞, 深静脉血栓

Abstract: Erysipelas complicated with pulmonary thromboembolism is rare. A 68-year-old male presented with redness, swelling and heat pain on the right lower limb for 4 days. The diagnosis of erysipelas was made. After admission, deep venous thrombosis in his right lower extremity was found. During the treatment of erysipelas, he developed right chest pain and dyspnea, and was diagnosed with right pulmonary artery embolism. The patient was urgently transferred to the vascular surgery department for the placement of an inferior vena cava filter and catheter-directed thrombolysis in the pulmonary artery. Postoperatively, the patient recovered well. There was no recurrence during a 4-year follow-up.

Key words: erysipelas, pulmonary thromboembolism, deep veinous thrombosis