Drescher M J, Smally A J
Department of Traumatology and Emergency Medicine, University of Connecticut School of Medicine, USA.
Am J Emerg Med. 1997 Nov;15(7):683-5. doi: 10.1016/s0735-6757(97)90185-6.
The patient presenting to the emergency department (ED) with a painful swollen lower extremity is considered to have deep venous thrombosis (DVT) until this diagnosis can be ruled out. This clinical presentation, however, is far from specific and the differential diagnosis includes symptomatic Baker's cyst, also known as pseudothrombophlebitis syndrome (PTP). This article presents two cases of PTP and reviews the literature relevant to diagnosis of DVT and PTP. Ultrasonography is now the diagnostic test of choice for both DVT and PTP, being safe, accurate, noninvasive, and rapid, and should ideally be available for use in the ED.
因下肢疼痛肿胀而到急诊科就诊的患者，在排除深静脉血栓形成（DVT）诊断之前，均被视为患有深静脉血栓形成。然而，这种临床表现远不具有特异性，鉴别诊断包括有症状的贝克囊肿，也称为假性血栓性静脉炎综合征（PTP）。本文介绍了两例PTP病例，并回顾了与DVT和PTP诊断相关的文献。超声检查目前是DVT和PTP的首选诊断方法，它安全、准确、无创且快速，理想情况下急诊科应具备该检查手段。
