D'Amico A
University of Pittsburgh School of Medicine, Pennsylvania.
Emerg Med Clin North Am. 1992 Feb;10(1):121-32.
The diagnosis of DVT is a perplexing clinical challenge for the emergency physician. The algorithm depicted in Figure 9 from Hobson et al represents a logical strategy for the application of noninvasive studies. Positive studies in the proper setting that are reliably interpreted can dictate anticoagulant therapy, but equivocal or uninterpretable tests must be followed by invasive testing to exclude clot. Negative tests require close follow-up and serial evaluation to detect potentially silent early clot formation.
对急诊科医生来说，诊断深静脉血栓形成（DVT）是一项令人困惑的临床挑战。霍布森等人图9中所示的算法代表了应用非侵入性检查的合理策略。在合适的情况下得到可靠解读的阳性检查结果可指导抗凝治疗，但模棱两可或无法解读的检查必须继以侵入性检查以排除血栓形成。阴性检查结果需要密切随访和系列评估，以检测可能无症状的早期血栓形成。
