一家大型教学医院中孤立性小腿静脉血栓形成患者的临床特征
Clinical characteristics of patients with isolated calf vein thrombosis in a large teaching hospital.
作者信息
Brian Santin, Fries Richard B, Bhagwan Satiani
机构信息
Mount Carmel Medical Center, Columbus, OH 43213, USA.
出版信息
Int J Vasc Med. 2011;2011:414093. doi: 10.1155/2011/414093. Epub 2011 Apr 7.
Objective. To identify the clinical characteristics of a patient population newly diagnosed with acute isolated calf deep venous thrombosis (ICDVT) by duplex ultrasound scan (DUS). Methods. A retrospective review of the records of 100 consecutive patients diagnosed with ICDVT by DUS was conducted. Results. Patients (59% male) were predominantly Caucasian (86%) and inpatients (69%) with an average age of 53 years. The most frequent risk factors were malignancy (22%), immobility (18%), and previous DVT (13%). Thrombus was present in named tibial veins in 58% and muscular branches in 42%. The peroneal vein was most frequently involved (39/117, 33%) followed by the gastrocnemius veins (29/117, 22%) and muscular calf tributaries (14%). Conclusions. Our patient population with ICDVT was predominantly symptomatic, in-patient cohort with a high incidence of risk factors such as malignancy, immobility, previous DVT, trauma, and postoperative status. Partial or complete resolution was documented by DUS in 53%.
目的。通过双功超声扫描（DUS）确定新诊断为急性孤立性小腿深静脉血栓形成（ICDVT）的患者群体的临床特征。方法。对100例经DUS诊断为ICDVT的连续患者的记录进行回顾性分析。结果。患者以男性为主（59%），主要为白种人（86%），且多为住院患者（69%），平均年龄53岁。最常见的危险因素为恶性肿瘤（22%）、活动减少（18%）和既往深静脉血栓形成（13%）。58%的患者血栓位于命名的胫静脉，42%位于肌支。腓静脉受累最常见（39/117，33%），其次是腓肠肌静脉（29/117，22%）和小腿肌支（14%）。结论。我们的ICDVT患者群体主要为有症状的住院患者，恶性肿瘤、活动减少、既往深静脉血栓形成、创伤和术后状态等危险因素的发生率较高。DUS记录显示53%的患者血栓部分或完全溶解。
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