Fraser James D, Anderson David R
Department of Diagnostic Radiology, Dalhousie University, Queen Elizabeth II Health Sciences Centre, 3rd Floor, Victoria Building, 1278 Tower Road, Halifax, Nova Scotia, Canada B3H 2Y9.
Radiol Clin North Am. 2004 Mar;42(2):279-96. doi: 10.1016/j.rcl.2004.01.001.
Deep venous thrombosis and pulmonary embolism are common problems and frequently included in the differential diagnosis of patients presenting to the emergency department and in the acute care setting. Clinical signs and symptoms of these entities are nonspecific and it is important to perform objective testing to confirm the diagnosis and initiate proper therapy. Compression ultrasonography is the diagnostic procedure of choice for the investigation of patients with suspected deep venous thrombosis. This article reviews the clinical indications, diagnostic techniques, and interpretation of compression ultrasound to assess deep venous thrombosis in the upper and lower extremities and to evaluate the role of compression ultrasonography in the assessment of patients with suspected pulmonary embolism.
深静脉血栓形成和肺栓塞是常见问题，在急诊科就诊的患者以及急性护理环境中的鉴别诊断中经常被考虑。这些疾病的临床体征和症状不具有特异性，因此进行客观检查以确诊并启动适当治疗非常重要。加压超声检查是对疑似深静脉血栓形成患者进行检查的首选诊断方法。本文回顾了加压超声检查的临床适应证、诊断技术以及对上下肢深静脉血栓形成的评估解读，并评估了加压超声检查在疑似肺栓塞患者评估中的作用。
