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上肢非下肢:上肢深静脉血栓形成的病理生理学、诊断与管理

The Arm is Not the Leg: Pathophysiology, Diagnosis, and Management of Upper Extremity Deep Vein Thrombosis.

作者信息

Noyes Adam M, Dickey John

机构信息

Department of Medicine, Division of Cardiology, Warren Alpert Medical School of Brown University, Providence, RI.

出版信息

R I Med J (2013). 2017 May 1;100(5):33-36.

Abstract

Upper extremity deep venous thrombosis (UEDVT) involves thrombosis of the deep veins of the arm as they enter the thorax. They are increasing in frequency, largely due to the rising use of central venous catheters and implantable cardiac devices, and represent more than 10% of all DVT cases, Upper extremity deep venous thrombosis has been historically misunderstood when compared to lower extremity deep vein thrombosis (LEDVT). Their associated disease states may carry devastating complications, with mortality rates often higher than that of LEDVT. Thus, education on recognition, classification and management is critical to avoid long-term sequelae and mortality from UEDVT. [Full article available at http://rimed.org/rimedicaljournal-2017-05.asp].

摘要

上肢深静脉血栓形成(UEDVT)是指手臂深静脉在进入胸腔处发生血栓形成。其发病率正在上升,主要原因是中心静脉导管和植入式心脏装置的使用增加,且占所有深静脉血栓形成(DVT)病例的10%以上。与下肢深静脉血栓形成(LEDVT)相比,上肢深静脉血栓形成在历史上一直被误解。其相关疾病状态可能会带来毁灭性的并发症,死亡率通常高于LEDVT。因此,关于识别、分类和管理的教育对于避免UEDVT导致的长期后遗症和死亡至关重要。[全文可在http://rimed.org/rimedicaljournal-2017-05.asp获取]

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