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深静脉血栓形成的影像学表现及介入治疗

Imaging findings and interventional management of deep venous thrombosis.

作者信息

Hindi Hussam, Dongmo Gauthier, Goodwin Alyssa, Jones Sean, Loveridge Kristian

机构信息

Department of Radiology, Wayne State University/Detroit Medical Center, Detroit, Michigan, United States.

出版信息

J Clin Imaging Sci. 2022 May 12;12:26. doi: 10.25259/JCIS_221_2021. eCollection 2022.

Abstract

Deep venous thrombosis (DVT) is a subtype of venous thromboembolism. Lower extremity DVT affects about 1-2% of hospitalized patients. If not managed properly, these thrombi can embolize, causing further complications. Thrombosis risk factors include vascular endothelial injury, venous stasis, and hypercoagulability states. This triad is also known as Virchow's triad. Although clinical features of lower extremity DVT are nonspecific and many patients are asymptomatic, physicians should maintain a high index of suspicion in patients presenting with leg swelling, pain, warmth, and erythema. Several diagnostic approaches for suspected first DVT have been proposed, and management depends on multiple factors such as location, duration of symptoms, cause of the thrombosis, and recurrence rate.

摘要

深静脉血栓形成(DVT)是静脉血栓栓塞症的一种亚型。下肢深静脉血栓形成影响约1%-2%的住院患者。如果处理不当,这些血栓可能会发生栓塞,导致进一步的并发症。血栓形成的危险因素包括血管内皮损伤、静脉淤滞和高凝状态。这三者也被称为魏尔啸氏三联征。尽管下肢深静脉血栓形成的临床特征不具有特异性,许多患者没有症状,但医生对出现腿部肿胀、疼痛、发热和红斑的患者应保持高度怀疑。针对疑似首次发生的深静脉血栓形成已经提出了几种诊断方法,治疗取决于多种因素,如血栓位置、症状持续时间、血栓形成原因和复发率。

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