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PeripheralVascularDisease
(周围血管疾病)PeripheralVascularDisease
PeripheralVascularDiseaseDiseasesofbloodvesselsoutsidetheheartandbrainDisordersoftheveinsPeripheralarterialdisease(PAD)PeripheralVascularDisease
AcuteDeepVenousThrombosis急性深静脉血栓01AcuteDeepVenousThrombosis02
VenousThromboembolism(VTE)AcuteDeepVenousThrombosisAcutedeepvenousthrombosis(DVT)Pulmonaryembolism(PE)Post-thromboticsyndrome
RiskFactorsforAcuteDeepVenousThrombosis(DVT)andPulmonaryEmbolism(PE)AcuteDeepVenousThrombosis
RiskFactorsforAcuteDeepVenousThrombosis(DVT)andPulmonaryEmbolism(PE)Pregnancy…AcuteDeepVenousThrombosisPrimaryHypercoagulableStatesOralContraceptivesandHormonalTherapy12345
SignsandsymptomsAcuteDeepVenousThrombosisSymptomsAbsenceofsymptomsMassiveswellingCalfpain,edema,erythema,feverCyanosiswithimpendingvenousgangrene(phlegmasiaceruleadolens,股青肿)SignsProminentsuperficialveinsHypertoniaandtendernessofcalfHomans’sign(painwithpassivedorsiflexionofthefoot)
VascularLabAcuteDeepVenousThrombosisVenography(“goldstandard”,historically)DuplexUltrasonographyComputedtomographyvenography(CTV)D-DimerAssays
May-ThurnersyndromeAcuteDeepVenousThrombosisAscendingvenography
DuplexUltrasonographySensitivity:97%Specificity:94%,Positivepredictivevalues:97%Negativepredictivevalues:98%,AcuteDeepVenousThrombosis
NormalThrombosedpoplitealveinAcuteDeepVenousThrombosisDuplexUltrasonography
Computedtomographyvenography(CTV)AcuteDeepVenousThrombosis
ElevatedD-dimervaluesareassociatedwith:Thrombosis(sensitivity96.8%)DICMalignancyPostoperativestatesPreeclampsiaInfectionRecenttraumaAcuteDeepVenousThrombosisD-DimerAssays
PreventionofVenousThromboembolismLow-molecular-weightheparin(LMWH)IntermittentpneumaticlegcompressionGraduated-CompressionStockingsOralAnticoagulantsAcuteDeepVenousThrombosis
TreatmentEighthACCPConferenceonAntithromb
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