Fric M, Pechán J, Mikulecký M, Valentín M, Simko I
Cor Vasa. 1985;27(5):346-52.
The diagnostic value of 16 signs and symptoms of active deep venous thrombosis of the calf (ADVTC) is analysed. Thirty-nine patients suspected of ADVTC were examined clinically using 16 symptoms and signs, the 125I-fibrinogen uptake test and X-ray phlebography. Active thrombosis was confirmed in 19 patients, in 20 patients the diagnosis of post-thrombotic syndrome was established. The pattern recognition procedure, carried out with the aid of 16 symptoms and signs only by a computer, was able to differentiate both conditions with 95% sensitivity and 90% specificity. The data do not comprise unexamined asymptomatic ADVTC, which type of ADVTC it is impossible to detect. The most important signs for recognition of ADVTC appeared to be (in the order of importance): painful calf pressure, a positive Meyer sign, asymmetrical oedema and a painful Lowenberg test between 80 and 139 mmHg, i.e. a painful calf and asymmetrical oedema.
分析了小腿急性深静脉血栓形成（ADVTC）的16种体征和症状的诊断价值。对39例疑似ADVTC的患者进行了临床检查，使用了16种症状和体征、125I-纤维蛋白原摄取试验和X线静脉造影。19例患者确诊为急性血栓形成，20例患者确诊为血栓形成后综合征。仅通过计算机借助16种症状和体征进行的模式识别程序，能够以95%的敏感性和90%的特异性区分这两种情况。数据不包括未经检查的无症状ADVTC，无法检测到这类ADVTC。识别ADVTC最重要的体征似乎是（按重要性顺序）：小腿压痛、迈耶征阳性、不对称性水肿以及80至139 mmHg之间的洛温贝格试验疼痛，即小腿疼痛和不对称性水肿。
