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下肢静脉超声检查——过去、现在与未来

Lower-extremity venous ultrasound - past, present and future.

作者信息

Goldfisher Rachelle

机构信息

Department of Radiology, Hofstra-Northwell School of Medicine, 270-05 76th Ave., New Hyde Park, NY, 11040, USA.

出版信息

Pediatr Radiol. 2017 Aug;47(9):1209-1213. doi: 10.1007/s00247-017-3933-7. Epub 2017 Aug 4.

DOI:10.1007/s00247-017-3933-7
PMID:28779202
Abstract

Deep vein thrombosis is a frequent clinical concern and imaging request in the pediatric population. There has been increased awareness of deep venous thrombosis in the pediatric population and sonography is now utilized more liberally and frequently to evaluate for thrombosis in the extremities. In this review the author discusses various aspects of deep vein thrombosis in the lower extremity including the pathophysiology, background, and morbidity in children. The current ultrasound guidelines and techniques, and the controversy over treatment are discussed as well.

摘要

深静脉血栓形成是儿科临床常见的关注点和影像学检查需求。儿科人群对深静脉血栓形成的认识有所提高，目前超声检查在评估四肢血栓时使用得更为广泛和频繁。在这篇综述中，作者讨论了下肢深静脉血栓形成的各个方面，包括儿童的病理生理学、背景和发病率。还讨论了当前的超声检查指南和技术，以及治疗方面的争议。

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Lower-extremity venous ultrasound - past, present and future.下肢静脉超声检查——过去、现在与未来
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Meta-Analysis of Randomized Controlled Trials of Xueshuantong Injection in Prevention of Deep Venous Thrombosis of Lower Extremity after Orthopedic Surgery.血栓通注射液预防骨科手术后下肢深静脉血栓形成的随机对照试验的Meta分析
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A Retrospective cohort study on the risk factors of deep vein thrombosis (DVT) for patients with traumatic fracture at Honghui Hospital.

本文引用的文献

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Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report.抗栓治疗 VTE 疾病：CHEST 指南和专家小组报告。
Chest. 2016 Feb;149(2):315-352. doi: 10.1016/j.chest.2015.11.026. Epub 2016 Jan 7.
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The controversy of managing calf vein thrombosis.处理小腿静脉血栓争议
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Safety and sensitivity of two ultrasound strategies in patients with clinically suspected deep venous thrombosis: a prospective management study.两种超声策略在疑似深静脉血栓形成患者中的安全性和敏感性：一项前瞻性管理研究。
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Serial 2-point ultrasonography plus D-dimer vs whole-leg color-coded Doppler ultrasonography for diagnosing suspected symptomatic deep vein thrombosis: a randomized controlled trial.连续两点式超声检查联合D-二聚体与全腿彩色编码多普勒超声检查在诊断疑似有症状的深静脉血栓形成中的应用：一项随机对照试验
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Incidence, risk factors, and treatment patterns for deep venous thrombosis in hospitalized children: an increasing population at risk.住院儿童深静脉血栓形成的发病率、危险因素及治疗模式：风险人群不断增加。
J Vasc Surg. 2008 Apr;47(4):837-43. doi: 10.1016/j.jvs.2007.11.054. Epub 2008 Mar 4.
10
Is it worth diagnosing and treating distal deep vein thrombosis? No.诊断和治疗远端深静脉血栓形成是否值得？不值得。
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