Mehta Ninfa, Schecter Joshua, Stone Michael
Department of Emergency Medicine, SUNY Downstate/Kings County Hospital Center, Brooklyn, New York 11203, USA.
J Emerg Med. 2012 May;42(5):566-8. doi: 10.1016/j.jemermed.2011.06.016. Epub 2011 Oct 21.
Traditionally, the diagnosis of deep venous thrombosis (DVT) using duplex ultrasonography (DU) has relied on the absence of venous compressibility. Visualization of an intraluminal thrombus is considered an uncommon finding.
The purpose of this study is to determine the frequency of intraluminal thrombus in emergency department (ED) patients diagnosed with acute DVT.
Retrospective chart review of adult ED patients with DU examinations demonstrating acute DVT. Patients with chronic DVT or patients in whom DU did not demonstrate DVT were excluded from data analysis. Study reports and ultrasound images were reviewed and analyzed for the presence of intraluminal thrombus.
There were 189 patients who met inclusion criteria, of which 160 (85%) were found to have intraluminal thrombus.
Intraluminal thrombi are present in the majority of patients in our ED in whom acute DVT is identified by DU.
传统上，使用双功超声（DU）诊断深静脉血栓形成（DVT）依赖于静脉不可压缩性。腔内血栓的可视化被认为是一种不常见的发现。
本研究的目的是确定急诊科（ED）诊断为急性DVT的患者腔内血栓的发生率。
对接受DU检查显示急性DVT的成年ED患者进行回顾性病历审查。慢性DVT患者或DU未显示DVT的患者被排除在数据分析之外。审查并分析研究报告和超声图像以确定腔内血栓的存在。
有189名患者符合纳入标准，其中160名（85%）被发现有腔内血栓。
在我们急诊科通过DU确诊为急性DVT的大多数患者中存在腔内血栓。
