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当前医学实践中关于上腔静脉综合征的临床或影像学诊断?

Clinical or Imaging Diagnosis of the Current Medical Practice for Superior Vena Cava Syndrome?

作者信息

Dragomir Liliana, Marina Virginia, Anghele Mihaela, Anghele Aurelian-Dumitrache

机构信息

Clinical-Medical Department, Faculty of Medicine and Pharmacy, "Dunarea de Jos" University of Galati, 800201 Galati, Romania.

Medical Department of Occupational Health, Faculty of Medicine and Pharmacy, "Dunarea de Jos" University of Galati, 800201 Galati, Romania.

出版信息

Diagnostics (Basel). 2021 Nov 6;11(11):2058. doi: 10.3390/diagnostics11112058.

Abstract

Most cases of superior vena cava syndrome are easily diagnosed bya clinical examination alone, but several diagnostic tests and procedures can be helpful. When a patient presentswith a suspected diagnosis of superior vena cava syndrome, the first step is to obtain an imaging study that confirms the diagnosis and aids treatment decisions. Magnetic resonance imaging, contrast-enhanced CT scanning, radionuclide flow studies and traditional venography are all appropriate techniques. Still, the CT scan is the most readily available technology in most centers. The CT scan and magnetic resonance imaging also provide information on possible etiologies and can therefore direct the approach towards a tissue diagnosis.

摘要

大多数上腔静脉综合征病例仅通过临床检查即可轻松诊断,但一些诊断测试和程序可能会有所帮助。当患者出现疑似上腔静脉综合征的诊断时,第一步是进行影像学检查以确诊并辅助治疗决策。磁共振成像、增强CT扫描、放射性核素血流研究和传统静脉造影都是合适的技术。不过,CT扫描是大多数中心最容易获得的技术。CT扫描和磁共振成像还能提供有关可能病因的信息,因此可以指导进行组织诊断的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ad/8623254/bd83a1408294/diagnostics-11-02058-g001.jpg

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