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热成像及纤维蛋白 - 纤维蛋白原降解产物测定在深静脉血栓形成诊断中的价值

The value of thermography and the determination of fibrin-fibrinogen degradation products in the diagnosis of deep venous thrombosis.

作者信息

Byström L G, Larsson T, Lundell L, Abom P E

出版信息

Acta Med Scand. 1977;202(4):319-22. doi: 10.1111/j.0954-6820.1977.tb16835.x.

DOI:10.1111/j.0954-6820.1977.tb16835.x
PMID:920252
Abstract

Fifty-one patients with leg symptoms indicating deep venous thrombosis (DVT) were investigated concomitantly with thermography and phlebography. Altogether 26 legs with phlebographically proven DVT exhibited a thermographic picture typical of DVT. So, however, did 3 out of 25 legs with no DVT. A 94 percent agreement was found between phlebography and thermography when applied to legs with suspect DVT. The serum levels of fibrin-fibrinogen degradation products (FDP) were assayed in 58 patients attending hospital for suspect DVT. These patients were free from other diseases known to be followed by raised FDP levels. With borderline significance, the DVT group had higher FDP values. The usefulness of this laboratory test in the diagnosis of DVT is, however, questioned.

摘要

对51例有提示深静脉血栓形成(DVT)腿部症状的患者同时进行了热成像检查和静脉造影检查。在静脉造影证实有DVT的26条腿中,共有26条腿呈现出典型的DVT热成像图。然而,在25条无DVT的腿中,也有3条呈现出同样的热成像图。当应用于疑似DVT的腿部时,静脉造影和热成像检查之间的一致性为94%。对58例因疑似DVT入院的患者检测了纤维蛋白-纤维蛋白原降解产物(FDP)的血清水平。这些患者没有已知会导致FDP水平升高的其他疾病。DVT组的FDP值略高,具有临界显著性。然而,这项实验室检查在DVT诊断中的实用性受到质疑。

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