Vine H S, Hillman B, Hessel S J
AJR Am J Roentgenol. 1981 Jan;136(1):167-71. doi: 10.2214/ajr.136.1.167.
The clinical history, signs, symptoms, and laboratory and radiographic results of 154 consecutive patients who had contrast phlebography for evaluation of deep venous thrombosis were evaluated retrospectively to determine their relationship to deep venous thrombosis. Malignancy, history of recent blood transfusions, recent surgery, congestive heart failure, immobility, and infection exhibited the strongest correlation with acute thrombophlebitis. Receiver operating characteristic curves were constructed to demonstrate the additive value of certain signs and symptoms in predicting the development of or protection from deep venous thrombosis. With these curves, a cutoff point can be selected for this population that will aid in determining which patients should undergo further diagnosis and/or treatment in the evaluation of deep venous thrombosis.
对154例连续接受静脉造影以评估深静脉血栓形成的患者的临床病史、体征、症状以及实验室和影像学检查结果进行回顾性评估，以确定它们与深静脉血栓形成的关系。恶性肿瘤、近期输血史、近期手术史、充血性心力衰竭、活动不便和感染与急性血栓性静脉炎的相关性最强。构建受试者工作特征曲线以证明某些体征和症状在预测深静脉血栓形成的发生或预防方面的附加价值。利用这些曲线，可以为该人群选择一个临界点，这将有助于确定在深静脉血栓形成评估中哪些患者应接受进一步诊断和/或治疗。
