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本文对60例急性髂股静脉血栓形成患者进行围溶栓治疗期血清β_2-微球蛋白(β_2-m)、乳酸脱氢酶(LDH)测定,以其探讨其变化规律及与病情变化、预后的关系。 材料和方法 一、一般资料:60例(男19,女41),急性髂股静脉血栓形成病人,年龄19～59岁,平均42岁。 二,诊断标准:下肢突然胀痛,股三角区自觉疼痛或压痛,屈髋、屈膝活动障碍。检查可见整个下肢弥漫性肿胀,张力增高,可有压痕,皮色苍白或发绀,皮温略低,肢体握痛,功能障碍。Doppler检查:患侧股、腘静脉血流声音减弱或消失。 三、临床分型及标准:为便于观察,以症状和体征的轻重,分为轻重两组。轻症组20例:下肢疼痛,水肿增粗,皮肤发绀,股三角区压痛,Homane征阳性;重症组40例:下肢剧烈疼痛,高度肿胀,皮肤张
In this paper, 60 cases of patients with acute iliac vein thrombosis were treated with peri-thrombolytic therapy for the determination of serum β_2-microglobulin (β_2-m) and lactate dehydrogenase (LDH), and to explore its changing rules and prognosis Relationship. Materials and Methods First, the general information: 60 cases (19 men and 41 women), acute iliofemoral venous thrombosis patients, aged 19 to 59 years, mean 42 years. Second, the diagnostic criteria: sudden lower extremity pain, the stock triangle conscious pain or tenderness, hip flexion, knee flexion disorders. Examination shows that the entire lower extremity diffuse swelling, increased tension, may have indentation, pale or cyanotic skin, skin temperature is slightly lower, limb pain, dysfunction. Doppler examination: ipsilateral shares, 腘 vein blood flow weakened or disappeared. Third, the clinical classification and standard: for the convenience of observation, the severity of symptoms and signs, divided into two groups of severity. 20 cases of mild disease: lower extremity pain, edema thickening, cyanosis of the skin, triangle hypertrophy, Homane sign positive; severe group of 40 patients: severe lower extremity pain, highly swollen, skin Zhang