远端深静脉血栓形成诊疗微循环专家共识

Microcirculation expert consensus on diagnosis and treatment for patients with distal deep venous thrombosis

远端深静脉血栓形成(DDVT)是深静脉血栓形成(DVT)的常见类型,其症状、肺栓塞(PE)风险和血栓后综合征(PTS)风险及总体预后不同于近端深静脉血栓形成(PDVT)。由于高质量临床研究数据的相对匮乏,使得DDVT的诊治存在争议。为指导和规范DDVT的诊断和治疗,由中国微循环学会周围血管疾病专业委员会发起,组织相关领域专家经多次讨论,并基于现有的文献资料与专家临床经验总结,制定《远端深静脉血栓形成诊疗微循环专家共识》,内容包括DDVT概述、辅助检查、验前概率评分与诊断、抗凝治疗、其他治疗、患者随访以及专科患者合并DDVT的管理,供临床参考使用。

Distal deep vein thrombosis(DDVT)is a common type of deep venous thrombosis(DVT).The symptoms,risk of pulmonary embolism(PE)and post thrombotic syndrome(PTS)and overall prognosis are different from proximal deep venous thrombosis(PDVT).Due to the lack of high-quality clinical research data,there is controversy for the diagnosis and treatment of DDVT.In order to standardize the diagnosis and treatment of DDVT,based on the existing literature and clinical experience,the Microcirculation expert consensus on diagnosis and treatment for patients with distal deep venous thrombosis was formulated after initiation of Peripheral Vascular Disease Committee of Chinese Society of Microcirculation and discussion of experts in specific domains,which includes overview,examinations,clinical pretest probability and diagnosis,anticoagulant therapy,other treatments,follow-up of DDVT and management of special patients with DDVT for clinical reference.