深静脉血栓症的延迟诊断和治疗 - - 是其相关结果的一个未被认可的因素?
Kanokporn Puttarak1, Pantep Angchaisuksiri2, Kochawan Boonyawat3
1Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Thrombosis journal
|October 1, 2025
概括
深静脉血栓症 (DVT) 诊断和治疗的延迟是常见的,影响了近一半的患者. 早期干预对于更好的结果和减少肺栓塞等并发症至关重要.
科学领域:
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
- 临床结果 临床结果
背景情况:
- 深静脉血栓 (DVT) 的诊断和治疗对于降低患者发病率和死亡率至关重要.
- 及时治疗DVT对于预防严重并发症至关重要.
研究的目的:
- 调查诊断成像时间,治疗开始间隔,以及与延迟深静脉血栓症 (DVT) 管理相关的患者结果.
- 确定导致DVT诊断和治疗延迟的因素.
主要方法:
- 在泰国学术中心对110名在2019年1月至2020年9月期间被诊断患有近端DVT的患者进行了回顾性分析.
- 收集的数据包括人口统计,临床表现,超声波成像时间和治疗开始时间.
- 评估的结果包括死亡率,肺栓塞 (PE),复发性DVT和血栓在3个月后的解决.
主要成果:
- 几乎一半的患者 (49%) 经历了延迟诊断 (成像>7天访问),和60.9%的治疗延迟 (>7天访问).
- 与早期治疗相比,延迟治疗与较高的死亡率 (9%vs. 5%) 和肺栓塞 (33%vs. 20%) 有关.
- 在延迟治疗患者的71%观察到残留血栓,而在早期治疗患者的63%观察到3个月的随访.
结论:
- 临近DVT的诊断和治疗都存在显著的延迟,常规的成像请求可能会导致诊断延迟.
- 医生需要提高对即时DVT诊断和治疗的重要性的认识.
- 需要制定提高DVT诊断和治疗途径效率的策略.
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