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[超声压迫检查作为血栓形成诊断的筛查方法]

[Compression sonography as a screening method in thrombosis diagnosis].

作者信息

Habscheid W, Stratmann A, Dämmrich J

机构信息

Medizinische Klinik, Universität Würzburg.

出版信息

Dtsch Med Wochenschr. 1990 Jun 29;115(26):1003-8. doi: 10.1055/s-2008-1065112.

Abstract

The incidence of thromboses in the leg was studied in 542 patients (220 women and 322 men, mean age 61 [15-88] years) in a medical intensive care unit who had routinely undergone ultrasound examinations of the venous system of the legs. Not previously known thromboses were demonstrated in 62 (11.4%) of patients, bilaterally in 27.4% of them. Thromboses were most frequent (28.8%) in patients with malignant disease, rarest (3.7%) in those with myocardial infarction. 45% of thromboses were located solely in the lower leg. Autopsy, performed in 87 of the patients, revealed recent pulmonary emboli in 14. In eight of them venous thrombosis had been diagnosed by ultrasound before death, while the total number of leg vein thromboses identified in the 87 patients was 11.

摘要

对542例患者(220名女性和322名男性,平均年龄61[15 - 88]岁)进行了研究,这些患者在医疗重症监护病房接受了腿部静脉系统的常规超声检查,以了解腿部血栓形成的发生率。62例(11.4%)患者发现了此前未知的血栓,其中27.4%为双侧血栓。血栓在恶性疾病患者中最为常见(28.8%),在心肌梗死患者中最为罕见(3.7%)。45%的血栓仅位于小腿。对87例患者进行了尸检,发现14例有近期肺栓塞。其中8例在死亡前通过超声诊断为静脉血栓形成,而这87例患者中确定的腿部静脉血栓总数为11个。

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