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上肢静脉血栓形成的彩色多普勒超声诊断

Colour Doppler sonographic diagnosis of upper limb venous thromboses.

作者信息

Kröger K, Schelo C, Gocke C, Rudofsky G

机构信息

Klinik für Angiologie, Universität Essen, Germany.

出版信息

Clin Sci (Lond). 1998 Jun;94(6):657-61. doi: 10.1042/cs0940657.

DOI:10.1042/cs0940657
PMID:9854465
Abstract
  1. Upper limb venous thromboses are considered to be a rare event, but in large hospitals with a lot of patients who receive aggressive intravenous therapy the number of thromboses seem to increase. 2. We have analysed all the cases of upper limb venous thrombosis which occurred at the Essen University Hospital between the years of 1992-1996. All patients were examined using colour Doppler sonography. 3. Out of 827 patients that were examined, a thrombosis was diagnosed in 334 cases. The subclavian vein was involved in 69% of all thromboses. Isolated jugular vein thrombosis was found in 17% of the thromboses, combined thromboses of the jugular and subclavian vein in 19%. In 182 cases the patients were treated for primarily a malignant illness. In 96 cases we found an association with venous port-systems or central venous catheters. 4. More than 40,000 patients a year were treated at the university hospital. Considering this huge number of patients the thrombosis of the upper limb is still rare. The use of colour Doppler sonography allows an early and safe diagnosis of the thrombosis without straining the patients.
摘要
  1. 上肢静脉血栓形成被认为是一种罕见事件,但在有大量接受积极静脉治疗患者的大型医院中,血栓形成的数量似乎有所增加。2. 我们分析了1992年至1996年间在埃森大学医院发生的所有上肢静脉血栓形成病例。所有患者均使用彩色多普勒超声进行检查。3. 在接受检查的827名患者中,334例被诊断为血栓形成。锁骨下静脉血栓形成占所有血栓形成的69%。孤立性颈静脉血栓形成占血栓形成的17%,颈静脉和锁骨下静脉联合血栓形成占19%。182例患者主要因恶性疾病接受治疗。96例中我们发现与静脉端口系统或中心静脉导管有关。4. 该大学医院每年治疗超过40000名患者。考虑到如此庞大的患者数量,上肢血栓形成仍然很少见。彩色多普勒超声的使用能够在不给患者带来负担的情况下对血栓形成进行早期且安全的诊断。

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Colour Doppler sonographic diagnosis of upper limb venous thromboses.上肢静脉血栓形成的彩色多普勒超声诊断
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