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非心源性腿部肿胀患者的处理方法。

Approach to the Patient with Non-cardiac Leg Swelling.

机构信息

Division Vascular Medicine, Jefferson Vascular Center, Sidney Kimmel Medical College, Thomas Jefferson University Hospitals, Suite 6210, Gibbon Building, 111 South 11th Street, Philadelphia, PA 19107, USA.

Division of Vascular Medicine, Department of Surgery, Jefferson Vascular Center, Sidney Kimmel Medical College, Thomas Jefferson University Hospitals, Suite 6210, Gibbon Building, 111 South 11th Street, Philadelphia, PA 19107, USA.

出版信息

Med Clin North Am. 2023 Sep;107(5):945-961. doi: 10.1016/j.mcna.2023.05.009.

Abstract

One of the most common reasons for patient visits in the outpatient practice is lower extremity swelling. Non-cardiac etiologies are the most frequent reason for these encounters. The approach to this patient population will focus on the 7 key questions to initiate the gathering of historical information on the etiology of leg swelling. Figures and tables will complement the text for diagnosing lower extremity swelling. In this article, the common non-cardiac etiologies will be reviewed which include medications, chronic venous insufficiency, lymphatic disease, lipedema, venous thrombosis, and musculoskeletal etiologies.

摘要

下肢肿胀是门诊患者就诊最常见的原因之一。非心源性病因是这些就诊的最常见原因。对这类患者人群的处理方法将侧重于提出 7 个关键问题,以开始收集导致腿部肿胀的病因的病史信息。图表将为诊断下肢肿胀提供文本补充。在本文中,将回顾常见的非心源性病因,包括药物、慢性静脉功能不全、淋巴疾病、脂肪水肿、静脉血栓形成和肌肉骨骼病因。

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