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伴有肢体水肿的深静脉血栓形成的计算机断层扫描

Computed tomography in deep venous thrombosis with limb oedema.

作者信息

Seem E, Stranden E, Stiris M G

出版信息

Acta Radiol Diagn (Stockh). 1985 Nov-Dec;26(6):727-30. doi: 10.1177/028418518502600617.

DOI:10.1177/028418518502600617
PMID:4083069
Abstract

Computed tomography was used in 12 patients to investigate the distribution of oedema in the soft tissue compartments of lower limbs with deep venous thrombosis. Oedema was evenly distributed throughout the subcutis and the muscular compartments in tomograms obtained 25 cm proximal to the ankle. Significantly less swelling in the muscular compartments was found 10 cm proximal to the ankle. Interstitial fluid hydrostatic pressure was measured in the subcutis, and in anterior and posterior muscular compartments, and was significantly increased in all cases. Except for one case, the recorded pressures were well below 30 mmHg, which is considered the limit above which compartment syndromes occur. Tissue compliance was significantly lower in muscular compartments than in the subcutis.

摘要

对12例下肢深静脉血栓患者进行计算机断层扫描,以研究下肢软组织间隙水肿的分布情况。在距踝关节近端25 cm处获得的断层图像中,水肿均匀分布于整个皮下组织和肌肉间隙。在距踝关节近端10 cm处,发现肌肉间隙的肿胀明显减轻。测量了皮下组织、肌肉前间隙和肌肉后间隙的组织间液静水压,所有病例均显著升高。除1例病例外,记录的压力均远低于30 mmHg,一般认为30 mmHg是发生骨筋膜室综合征的压力上限。肌肉间隙的组织顺应性明显低于皮下组织。

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