在患有深静脉血栓症的患者中经常出现无症状的肺栓塞
K M Moser1, P F Fedullo, J K LitteJohn
1Department of Medicine, University of California, School of Medicine, San Diego.
JAMA
|January 19, 1994
概括
在没有症状的深静脉血栓患者中,近40%的患者患有肺栓塞. 这强调了静脉血栓塞栓症是一种单一的疾病,强调了全面诊断和治疗的必要性.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 血管医学 血管医学
背景情况:
- 深静脉血栓塞 (DVT) 和肺栓塞 (PE) 是静脉血栓塞 (VTE) 的表现.
- 在被诊断为DVT的患者中,无症状PE的发生频率尚未得到充分确定.
- 了解DVT和PE之间的关系对于有效的患者管理至关重要.
研究的目的:
- 确定深静脉血栓 (DVT) 治疗的患者肺栓塞 (PE) 的发生率.
- 调查DVT和无症状PE之间的关系.
主要方法:
- 一个开放的,多中心的,剂量范围的研究,涉及五家三级医院.
- 确诊的DVT或PE患者在治疗前和治疗后接受了诊断成像 (静脉图,肺血管图,肺部扫描,胸部X光图).
- 所有患者都接受了组织类型的等离子体激活剂,随后接受了肝素治疗.
主要成果:
- 近40%的患有DVT且没有PE症状的患者在通风 perfusion 扫描和胸部X光学图上显示出肺栓塞的迹象.
- 这些发现是基于高概率扫描结果,表明发生率最低.
结论:
- 在DVT患者中无症状PE的高频率表明,静脉血栓塞栓症应该被视为单一的疾病过程.
- 这些结果强调了在所有DVT患者中考虑PE的重要性,即使在没有明显症状的患者中也是如此.
相关概念视频
Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax-II
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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