下肢深静脉血栓形成的潜在病因追踪分析

Analysis on latent etiological factor of deep venous thrombosis in lower limb

目的:拓宽对下肢深静脉血栓形成(LEDVT)的诊断认识,减少误漏诊率。方法:回顾性分析2000年～2006年我院收治的23例首诊为LEDVT,但最后确诊的主要诊断并非为LEDVT的患者的临床资料。结果:23例病例中,漏诊妇科肿瘤13例,子宫腺肌病1例,直肠癌3例,肺癌2例,膀胱癌2例,前列腺癌1例、腹股沟恶性淋巴瘤1例。结论:在诊断下肢深静脉血栓形成时,必须要重视追问病史。对于不明原因出现的DVT,尤其需要注意对其潜在的病因进行追踪分析,以防止发生误漏诊,使病人得到及时、有效的治疗。

Objective：To improve the diagnostic level of lower extremity deep venous thrombosis （ LEDVT ） and decrease the rate of missed diagnosis. Methods：23 clinical cases which admitting diagnosed with LEDVT but final diagnoses weren＇t LEDVT were retrospectively analyzed in our hospital between 2000 and 2006. Results：Of these 23 cases with missed diagnosed,13 cases were gynecology tumor, 1 case was adenomyosis,3 cases were rectal cancer,2 cases were lung cancer,2 cases were carcinoma of bladder, 1 case was prostatic carcinoma,and 1 case was malignant lymphoma in ingina. Conclusion：clinicians should pay attention to question the case history when their patients get lower extremity deep venous thrombosis,especially to those whom are inconspicuous predisposing cause.