用于区分蜂窝织炎和深静脉血栓形成的水肿蛋白浓度

Oedema protein concentrations for differentiation of cellulitis and deep vein thrombosis.

作者信息

Berlyne G M, Kwan T, Li J, Caruso C

机构信息

Department of Medicine, Brooklyn Veterans' Administration Medical Center, New York.

出版信息

Lancet. 1989 Sep 23;2(8665):728-9. doi: 10.1016/s0140-6736(89)90783-6.

DOI:10.1016/s0140-6736(89)90783-6

PMID:2570970

Abstract

The differentiation between cellulitis and deep vein thrombosis was investigated in a series of patients with acutely swollen, painful, red legs. Oedema-fluid protein concentrations (as mean [SD]) were significantly higher in patients with cellulitis than in those with deep vein thrombosis (19.8 g/l [5.0] vs 5.85 g/l [1.6]), and the oncotic pressure of oedema-fluid was also significantly higher in cellulitis (6.3 mm Hg [1.3] vs 2.1 mm Hg [0.6]). In hospitals where phlebography, plethysmography, or doppler ultrasound are not available, measurement of oedema-fluid protein concentrations may be a rapid and inexpensive guide to the cause of a red, swollen leg.

摘要

在一系列腿部急性肿胀、疼痛且发红的患者中，对蜂窝织炎和深静脉血栓形成进行了鉴别研究。蜂窝织炎患者水肿液中的蛋白质浓度（均值[标准差]）显著高于深静脉血栓形成患者（19.8 g/l[5.0] 对比5.85 g/l[1.6]），并且蜂窝织炎患者水肿液的胶体渗透压也显著更高（6.3 mmHg[1.3] 对比2.1 mmHg[0.6]）。在没有静脉造影、体积描记法或多普勒超声检查设备的医院中，测量水肿液蛋白质浓度可能是一种快速且廉价的判断腿部红肿原因的方法。