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t al. Antithrombotic therapy for venous thromboembolic disease: American College of Chest Physicians EvidenceBased Clinical Practice Guidelines (8th Edition)[J]. Chest,2008,133(6 Suppl):454S545S,第二十頁(yè),共二十九頁(yè)。i)短,放置困難 致死性并發(fā)癥發(fā)生率為3.8%,第二十二頁(yè),共二十九頁(yè)。,并發(fā)癥,肺栓塞:發(fā)生率約為5%;抗凝 深靜脈血栓(xu232。,內(nèi)容(n232。深靜脈血栓復(fù)發(fā):高復(fù)發(fā)、早復(fù)發(fā)。CVC置入:45%與CVC有關(guān)。f225。i)血栓形成影響肢體功能 絕對(duì)抗凝、溶栓禁忌癥,第二十三頁(yè),共二十九頁(yè)。,上腔靜脈(j236。i)血栓形成),拔除深靜脈置管 抗凝 溶栓 上腔靜脈濾器(lǜq236。,UEDVT診斷(zhěndu224。bǐ)靜脈造影:金標(biāo)準(zhǔn) MRI、MRV CTV …… van M. DI NISIO, G.L.S., Accuracy of diagnostic tests for clinically suspected upper extremity deep vein thrombosis. Journal of Thrombosis and Haemostasis,第十一頁(yè),共二十九頁(yè)。,2004年美國(guó)(měi ɡu243。,危險(xiǎn)(wēixiǎn)因素,原發(fā)性上肢深靜脈(j236。,第三頁(yè),共二十九頁(yè)。上肢(sh224。,流行病學(xué)(lingm224。)多中心研究,Hylton V. Joffe N K V F. UpperExtremity Deep Vein Thrombosis A Prospective Registry of 592 Patients[J]. Circulation,2004,12(110):16051611,第九頁(yè),共二十九頁(yè)。,D二聚體,Merminodet al,2006, Switzerland: 500ug/L 多普勒超聲確診 52例懷疑UEDVT中: 1.Ddimer陽(yáng)性:15/52