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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.

DOI:10.1016/j.mcna.2023.05.009
PMID:37541718
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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1
Approach to the Patient with Non-cardiac Leg Swelling.非心源性腿部肿胀患者的处理方法。
Med Clin North Am. 2023 Sep;107(5):945-961. doi: 10.1016/j.mcna.2023.05.009.
2
[Leg swelling].腿部肿胀
Internist (Berl). 2013 Nov;54(11):1294-303. doi: 10.1007/s00108-013-3339-z.
3
[The swollen leg and clarification of bilateral leg swelling : Practical procedure in general practice].[腿部肿胀与双侧腿部肿胀的辨明:全科医疗中的实用程序]
Internist (Berl). 2020 Jan;61(1):36-43. doi: 10.1007/s00108-019-00708-9.
4
[Lipedema: clinical and diagnostic criteria].[脂肪性水肿:临床及诊断标准]
Angiologia. 1990 Jul-Aug;42(4):133-7.
5
[Differential diagnosis of leg edema].[腿部水肿的鉴别诊断]
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[Diagnosis of leg edema].[腿部水肿的诊断]
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Unilateral leg edema: Is it always vascular?单侧腿部水肿:总是血管性的吗?
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Approach to diagnosing lower extremity edema.下肢水肿的诊断方法。
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[Systemic disease as cause of leg swelling].[全身性疾病作为腿部肿胀的病因]
Duodecim. 2013;129(17):1843-7.