表面的股骨静脉. 在表面的股骨静脉. 一个潜在的致命的错误名称
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
概括
在报告中将表面的股骨静脉错误地命名为深层静脉,可能导致危险的治疗错误. 大多数医生都不知道这种深静脉存在.
科学领域:
- 血管医学 血管医学
- 医学诊断 医学诊断 医学诊断
- 解剖学教育 解剖学教育
背景情况:
- 术语"表面的股骨静脉"通常用于静脉双重报告.
- 这种术语经常被教授给医学学生,并在临床实践中使用.
- 准确的解剖学命名对于正确的医学解释和患者护理至关重要.
研究的目的:
- 评估在静脉双重报告中使用术语"表面大腿静脉"引起的诊断错误的可能性.
- 评估医疗专业人员对大腿深静脉的理解和首选术语.
- 发现解剖学教学与当前临床报告实践之间的差异.
主要方法:
- 一项基于调查的研究,涉及邮件问卷.
- 参与者包括家庭医生,全科医生,解剖学系主任和血管实验室主任.
- 该调查评估了对大腿深静脉命名法及其对患者治疗的影响的理解.
主要成果:
- 只有24%的受访医生会像描述的那样治疗患有表面静脉血栓的患者,这表明可能存在误解.
- 显著的大部分解剖学家 (97%) 不认为"表面大腿静脉"是正确的或首选的术语.
- 尽管有解剖学上的不准确性,但93%的血管实验室报告在下肢静脉双重报告中使用"表面的股骨静脉".
结论:
- 在诊断报告中普遍使用"表面大腿静脉"存在由于误解而造成患者伤害的重大风险.
- 大多数初级保健医生缺乏意识,表面的股骨静脉是一个深层静脉,它的血栓形成是危及生命的.
- 为了防止诊断错误和确保适当的患者管理,标准化大腿深静脉的命名是必不可少的.
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