Diagnosing Deep Vein Thrombosis

被引：28

作者：

Somarouthu, Bhanusupriya ^{[1
]}

Abbara, Suhny ^{[1
]}

Kalva, Sanjeeva P. ^{[1
]}

机构：

[1] Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Cardiovasc Imaging & Intervent,Dept Radiol, Boston, MA 02114 USA

来源：

POSTGRADUATE MEDICINE | 2010年 / 122卷 / 02期

关键词：

venous thromboembolism; deep venous thrombosis; pulmonary embolism; Wells clinical score; D-dimer test; duplex ultrasound; INDIRECT CT VENOGRAPHY; THROMBOEMBOLIC DISEASE; VENOUS THROMBOEMBOLISM; D-DIMER; METAANALYSIS; RISK;

D O I：

10.3810/pgm.2010.03.2123

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

In this article, we discuss the approach for diagnosing deep vein thrombosis (DVT) in different patient populations. Clinical features and probability assessment guide further diagnostic tests. D-dimer testing is used as screening test; however, duplex ultrasound remains the primary confirmatory test. Computed tomography and magnetic resonance imaging are used only in select patient populations, such as when ultrasound results are equivocal, in patients suspected of central venous DVT, or as a part of combined protocol for diagnosis of pulmonary embolism. Contrast phlebography and plethysmography do not have much of a role during routine diagnosis of DVT.

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收藏

页码：66 / 73

页数：8

相关论文

共 23 条

[1]

Living Near Major Traffic Roads and Risk of Deep Vein Thrombosis [J].

Baccarelli, Andrea ;

Martinelli, Ida ;

Pegoraro, Valeria ;

Melly, Steven ;

Grillo, Paolo ;

Zanobetti, Antonella ;

Hou, Lifang ;

Bertazzi, Pier Alberto ;

Mannucci, Pier Mannuccio ;

Schwartz, Joel .

CIRCULATION, 2009, 119 (24) :3118-3124

[2]

Arginase reciprocally regulates nitric oxide synthase activity and contributes to endothelial dysfunction in aging blood vessels [J].

Berkowitz, DE ;

White, R ;

Li, DC ;

Minhas, KM ;

Cernetich, A ;

Kim, S ;

Burke, S ;

Shoukas, AA ;

Nyhan, D ;

Champion, HC ;

Hare, JM .

CIRCULATION, 2003, 108 (16) :2000-2006

[3]

Serial 2-point ultrasonography plus D-Dimer vs whole-leg color-coded doppler ultrasonography for diagnosing suspected symptomatic deep vein thrombosis -: A randomized controlled trial [J].

Bernardi, Enrico ;

Camporese, Giuseppe ;

Buller, Harry R. ;

Siragusa, Sergio ;

Imberti, Davide ;

Berchio, Arrigo ;

Ghirarduzzi, Angelo ;

Verlato, Fabio ;

Anastasio, Raffaela ;

Prati, Carolina ;

Piccioli, Andrea ;

Pesavento, Raffaele ;

Bova, Carlo ;

Maltempi, Patrizia ;

Zanatta, Nello ;

Cogo, Alberto ;

Cappelli, Roberto ;

Bucherini, Eugenio ;

Cuppini, Stefano ;

Noventa, Franco ;

Prandoni, Paolo .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2008, 300 (14) :1653-1659

[4]

Thromboembolic disease detection at indirect CT venography versus CT pulmonary angiography [J].

Cham, MD ;

Yankelevitz, DF ;

Henschke, CI .

RADIOLOGY, 2005, 234 (02) :591-594

[5]

Chan W S., Journal of Thrombosis and Haemostasis

[6]

Epidemiology and risk factors for venous thrombosis [J].

Cushman, Mary .

SEMINARS IN HEMATOLOGY, 2007, 44 (02) :62-69

[7]

Multimodality Imaging of the Peripheral Venous System [J].

Gaitini, Diana .

INTERNATIONAL JOURNAL OF BIOMEDICAL IMAGING, 2007, 2007

[8]

CT venography vs ultrasound in the diagnosis of thromboembolic disease in patients with clinical suspicion of pulmonary embolism [J].

Garcia-Bolado A. ;

Del Cura J.L. .

Emergency Radiology, 2007, 14 (6) :403-409

[9]

Goodacre S, 2006, HEALTH TECHNOL ASSES, V10, P1

[10]

Meta-analysis: The value of clinical assessment in the diagnosis of deep venous thrombosis [J].

Goodacre, S ;

Sutton, AJ ;

Sampson, FC .

ANNALS OF INTERNAL MEDICINE, 2005, 143 (02) :129-139