Wigley R A, Paterson D E
N Z Med J. 1982 Sep 8;95(715):630-2.
Four cases of calf haematoma are described in which an incorrect diagnosis of deep vein thrombosis (DVT) was made of rupture of the knee synovium, and led to inappropriate anticoagulant therapy. Awareness of how closely synovial rupture of the knee can simulate DVT should prevent such mistakes. Where there is doubt venography and/or arthrography are advocated before prescribing anticoagulants which can be dangerous as there may already be bleeding from the rupture site.
本文描述了4例小腿血肿病例，这些病例最初被误诊为深静脉血栓形成（DVT），而实际病因是膝关节滑膜破裂，进而导致了不恰当的抗凝治疗。了解膝关节滑膜破裂与DVT的相似程度，有助于避免此类误诊。在存在疑问的情况下，建议在开抗凝药之前先进行静脉造影和/或关节造影，因为抗凝药可能会因破裂部位已有出血而存在危险。
