下肢深静脉血栓形成:从诊断到治疗。

Sophie Greutert, Helia Robert-Ebadi, Marc Righini
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引用次数: 0

摘要

当怀疑深静脉血栓形成(DVT)时,应根据临床评估和检测前概率、d -二聚体检测和静脉超声确定明确的诊断方法。一旦确诊,重要的是要区分近端和远端DVT,因为它们的治疗策略不同。虽然近端DVT有大量可靠的研究和高水平的证据,但远端DVT的最佳治疗仍存在争议。总的来说,治疗是基于弹性压缩和治疗性抗凝,在大多数情况下使用直接口服抗凝剂。抗凝治疗的持续时间主要取决于静脉血栓栓塞复发的风险。
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[Deep vein thrombosis of the lower limb : from diagnosis to treatment].

When a deep vein thrombosis (DVT) is suspected, management should begin with a well-defined diagnostic approach based on clinical evaluation and pre-test probability, D-dimer testing, and venous ultrasound. Once the diagnosis is confirmed, it is important to differentiate between proximal and distal DVT, as their treatment strategies differs. While numerous robust studies with a high level of evidence are available for proximal DVT, the optimal management of distal DVT remains debated. Overall, treatment is based on elastic compression and therapeutic anticoagulation, with direct oral anticoagulants used in most cases. The duration of anticoagulation mainly depends on the risk of venous thromboembolism recurrence.

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Revue medicale suisse
Revue medicale suisse Medicine-Medicine (all)
CiteScore
0.60
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0.00%
发文量
1210
期刊介绍: Destinée aux professionnels de santé, la plateforme revmed.ch regroupe la version électronique de la Revue Médicale Suisse et les applications de formation et d"aide à la prise de décision eRMS. La eRMS est le fruit d’une large collaboration entre institutions et praticiens de Suisse romande.
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