Byrne Christina, Abdulla Jawdat, Christensen Jan Kim
Gammel Kongevej 151, 5.3., 1850 Frederiksberg C.
Ugeskr Laeger. 2015 Jan 26;177(2A):12-3.
Danish guidelines recommend the use of D-dimer to exclude deep venous thrombosis (DVT) in the lower extremities. However, guidelines are lacking for DVT in the upper extremities. We describe two young women with transvenous pacemaker electrodes and symptomatic DVT in related veins. Despite a normal D-dimer, DVT was verified by colour Doppler ultrasound in both cases. The guidelines of American College of Chest Physicians recommend initial evaluation using colour Doppler ultrasound as front-line examination. Accordingly, we suggest a similar revision of Danish guidelines incorporating upper extremity DVT as well.
丹麦指南推荐使用D - 二聚体来排除下肢深静脉血栓形成（DVT）。然而，目前缺乏关于上肢DVT的指南。我们描述了两名年轻女性，她们有经静脉起搏器电极且相关静脉出现有症状的DVT。尽管D - 二聚体正常，但两例均经彩色多普勒超声证实为DVT。美国胸科医师学会指南推荐将彩色多普勒超声作为一线检查进行初始评估。因此，我们建议对丹麦指南进行类似修订，将上肢DVT也纳入其中。
