表面的な股関節静脈である. 潜在的に致命的な誤名です
W P Bundens1, J J Bergan, N A Halasz
1Department of Surgery, University of California, San Diego, La Jolla 92093-0643, USA.
JAMA
|October 25, 1995
まとめ
報告では,表面的な股関節静脈を深層静脈として誤って命名すると,危険な治療ミスにつながる可能性があります. ほとんどの医師は,この深い静脈の存在を知らない.
科学分野:
- 血管医学 血管医学とは
- 医療診断 医療診断
- アナトミー教育 アナトミー教育
背景:
- "表面的股関節静脈"という用語は,静脈複合報告で一般的に使用されます.
- この用語は,しばしば医学生に教えられ,臨床実務で使用されます.
- 正確な解剖学的な命名法は,正しい医療解釈と患者のケアに不可欠です.
研究 の 目的:
- 静脈二重報告における"表面性股関節静脈"という用語の使用から生じる診断エラーの可能性を評価する.
- 医療従事者の間で股関節深部静脈に対する理解と好みの用語を評価する.
- 解剖学の教学と現在の臨床報告の実践の間の不一致を特定する.
主な方法:
- メールアンケートを使った調査に基づく研究.
- 参加者の中には,家庭内科医,総合内科医,解剖学科の学長,血管研究所の所長などがいた.
- 調査は,股関節深部静脈の命名法とその患者の治療への影響についての理解を評価した.
主要な成果:
- 調査対象の医師の24%だけが,表面的な股関節静脈血栓症を患った患者を,説明したように治療していたことが,潜在的な誤解を示唆しています.
- アナトミストの大多数 (97%) は"表面的な股関節静脈"を正しいまたは好みの用語とは考えていない.
- 解剖学的不正確さにもかかわらず,血管研究室の93%は下肢の静脈二重報告で"表面的な股関節静脈"を使用していると報告しています.
結論:
- 診断報告における"表面性股関節静脈"の普及は,誤った解釈による患者の被害の重大なリスクをもたらす.
- ほとんどの初等保健医は,表面的な股関節静脈が深い静脈であり,その血栓形成は生命を脅かすものであることを認識していない.
- 股関節深部静脈の命名法を標準化することは,診断上の誤りを防止し,適切な患者管理を確保するために不可欠です.
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