急性血管阻塞性疾病的超声诊断

Ultrasound Examination for the Identification of Acute Peripheral Vascular Occlusive Diseases

３９例临床怀疑为急性周围血管阻塞性疾病的患者接受血管超声检查。超声诊断并明确定位上肢或下肢急性深静脉血栓形成（ＤＶＴ）１３例，急性动脉阻塞７例（其中５例栓塞，１例血栓形成，１例髂动脉夹层）。超声诊断后不作血管造影术，立即对患者进行治疗。１例临床怀疑急性下肢动脉栓塞患者超声检查阴性。１８例超声排除ＤＶＴ诊断而不予抗凝治疗的患者，在临床随访中均未发生肺栓塞。

patients suspected clinically of having acute peripheral arterial (n=8)or venous(n=31)occlusive diseases were examined by a triplex scanner,The ultrasonographic diagnosis was made in 7 patients as arterial occlusion (5 embolism,1 thrombosis and 1 aortic dissection involving left iliac artery) and in 13 as deep venous thrombosis(DVT)of legs or upper extremities.All these patients with positive findings were medically or surgically treated without performing angiography.All the 19 patients with negative ultrasonographic results had an uneventful course during a two-weeks'follow- up period although they were not given any thrombolytic therapy or anticoagulant.