Ulcus cruris, acute phlebiticI80.8
DefinitionThis section has been translated automatically.
Very painful, usually freshly formed ulcer in acute thrombophlebitis.
Clinical featuresThis section has been translated automatically.
Fresh, usually small, strongly secreting ulcer in a highly red, inflammatory changed environment. Here, coarse, overheated strands are detectable as an expression of the acute phlebitis. Severe pain throughout the leg, even at night.
General therapyThis section has been translated automatically.
Mobilization: 3 times a day for 30 minutes at night, elevation of the affected limb.
Remember! In thrombophlebitis, immobilization of the patient is contraindicated!
External therapyThis section has been translated automatically.
Compression therapy with elastic short-stretch bandages (e.g. Pütter bandage), compression bandages that are self-adhesive on the thigh (e.g. Acrylastic, Tricoplast).
Internal therapyThis section has been translated automatically.
- Antiphlogistics such as acetylsalicylic acid (e.g. ASS) 3 times/day 500-1000 mg p.o., diclofenac (e.g. Voltaren) 2 times/day 50 mg, indometacin (e.g. Indomet-ratiopharm Supp.) 1-2 times/day 1 Supp.
- For bedridden patients: compression therapy, low-dose heparinisation, ulcer therapy appropriate to the stage of the disease (see under wound treatment).
Operative therapieThis section has been translated automatically.
If possible, stab incision in LA (e.g. chlorethyl icing) and expression of the thrombus.