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125I-纤维蛋白原试验对髋部骨折患者静脉血栓形成的评估:同位素扫描与尸检结果的比较

Evaluation of 125I-fibrinogen test for venous thrombosis in patients with hip fractures: comparison between isotope scanning and necropsy findings.

作者信息

Morris G K, Mitchell J R

出版信息

Br Med J. 1977 Jan 29;1(6056):264-6. doi: 10.1136/bmj.1.6056.264.

DOI:10.1136/bmj.1.6056.264
PMID:837062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1604114/
Abstract

The results of 125I-fibrinogen leg scanning during life were compared with the findings at a detailed post-mortem dissection of the leg veins in 31 patients with hip fractures who died during the period of isotope scanning or within seven days of the last scan. Thigh scanning on the side of the hip fracture proved valueless, and criteria for the confident isotopic diagnosis of venous thrombosis in the uninjured thigh could not be determined. In the lower leg a difference in uptake of 20% or more that persisted for 24 hours between adjacent positions on one leg or between corresponding positions on the two legs was consistently associated with the presence of venous thrombosis at necropsy.

摘要

对31例髋部骨折患者在同位素扫描期间或最后一次扫描后7天内死亡者,将其生前125I - 纤维蛋白原腿部扫描结果与详细的腿部静脉尸检结果进行了比较。髋部骨折侧的大腿扫描结果证明毫无价值,且无法确定在未受伤大腿中进行静脉血栓形成同位素确诊的标准。在小腿,一条腿上相邻部位之间或两条腿上相应部位之间摄取率相差20%或更多且持续24小时,这与尸检时静脉血栓形成的存在始终相关。

相似文献

1
Evaluation of 125I-fibrinogen test for venous thrombosis in patients with hip fractures: comparison between isotope scanning and necropsy findings.125I-纤维蛋白原试验对髋部骨折患者静脉血栓形成的评估:同位素扫描与尸检结果的比较
Br Med J. 1977 Jan 29;1(6056):264-6. doi: 10.1136/bmj.1.6056.264.
2
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Diabetologia. 1983 Dec;25(6):502-5. doi: 10.1007/BF00284459.
2
Risk of and prophylaxis for venous thromboembolism in hospital patients. Thromboembolic Risk Factors (THRIFT) Consensus Group.住院患者静脉血栓栓塞的风险与预防。血栓栓塞风险因素(THRIFT)共识小组。
BMJ. 1992 Sep 5;305(6853):567-74. doi: 10.1136/bmj.305.6853.567.

本文引用的文献

1
125-I-labelled fibrinogen in the diagnosis of deep-vein thrombosis and its correlation with phlebography.¹²⁵I标记的纤维蛋白原在深静脉血栓形成诊断中的应用及其与静脉造影的相关性
Br J Surg. 1968 Nov;55(11):835-9.
2
The detection of venous thrombosis of the legs using 125-I-labelled fibrinogen.使用125-I标记的纤维蛋白原检测腿部静脉血栓形成。
Br J Surg. 1968 Oct;55(10):742-7. doi: 10.1002/bjs.1800551007.
3
Fibrinogen-detectable thrombosis in the legs and pulmonary embolism.腿部可检测到的纤维蛋白原血栓形成及肺栓塞。
Br Med J. 1974 Mar 30;1(5908):603-4. doi: 10.1136/bmj.1.5908.603.
4
Prevention of thrombo-embolism with dextran 70 and heparin in patients with femoral neck fractures.右旋糖酐70与肝素预防股骨颈骨折患者血栓栓塞
Acta Chir Scand. 1973;139(7):609-16.
5
Low-dosage ancrod for prevention of thrombotic complications after surgery for fractured neck of femur.低剂量抗栓酶预防股骨颈骨折术后血栓形成并发症
Br Med J. 1974 Oct 19;4(5937):130-3. doi: 10.1136/bmj.4.5937.130.
6
125-I-labelled fibrinogen test adapted for routine screening for deep-vein thrombosis.用于深静脉血栓形成常规筛查的125-I标记纤维蛋白原试验。
Lancet. 1970 Mar 14;1(7646):540-2. doi: 10.1016/s0140-6736(70)90769-5.
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Detection of venous thrombosis in the legs.腿部静脉血栓的检测。
Lancet. 1965 Dec 11;2(7424):1217-9. doi: 10.1016/s0140-6736(65)90638-0.
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Postoperative deep venous thrombosis. A comparison of diagnostic techniques.术后深静脉血栓形成。诊断技术的比较。
Lancet. 1971 Aug 28;2(7722):445-7. doi: 10.1016/s0140-6736(71)92623-7.
9
Prevention and diagnosis of venous thrombosis in patients with hip fractures. A survey of current practice.髋部骨折患者静脉血栓形成的预防与诊断。当前实践调查。
Lancet. 1976 Oct 23;2(7991):867-9. doi: 10.1016/s0140-6736(76)90535-3.