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院外近期下肢深静脉炎的诊治(作者译)

[The diagnosis and treatment of recent deep venous phlebitis outside hospital (author's transl)].

作者信息

Levasseur J, Mourlan J P, Plettner J L

出版信息

J Mal Vasc. 1980;5(3):221-4.

PMID:7462858
Abstract

Three angeiologists from different regions and in different ways suggest, on the basis of their experience, a method for the management of the non-hospitalised patient suspected of suffering from a deep venous thrombosis of the lower limbs. They consider the early clinical diagnosis, clinical forms, differential diagnosis and the special investigations which must be prescribed, remembering a therapeutic trial with heparin. First they deal on the one hand with systemic treatment, i.e. anticoagulants and their contraindications, anti-inflammatory agents, vasodilators and procaine, and secondly local treatment. The authors conclude in the need for a rapid and precise diagnosis and treatment adapted to each individual case, closely observed and continued until a return to normal.

摘要

三位来自不同地区、采用不同方法的血管学家根据他们的经验,提出了一种针对疑似下肢深静脉血栓形成的非住院患者的管理方法。他们考虑了早期临床诊断、临床类型、鉴别诊断以及必须安排的特殊检查,并记住了肝素治疗试验。首先,他们一方面讨论全身治疗,即抗凝剂及其禁忌证、抗炎药、血管扩张剂和普鲁卡因,另一方面讨论局部治疗。作者得出结论,需要进行快速准确的诊断,并针对每个病例进行个体化治疗,密切观察并持续治疗直至恢复正常。

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