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您请求的操作仅限于组中的用户:==临床预测规则(CPR):Well’s Criteria == Well’s Criteria是最常用的筛查DVT风险的工具: {| class="wikitable" !临床变量!评分|- |活动性癌症(正在治疗或6个月内，或姑息性)| +1 |- |瘫痪、瘫瘫或近期下肢固定物| +1 |- |近期卧床3天以上或4周内大手术宋凯，姚颖，荣智，沈毅，郑明，蒋强。股骨颈骨折择期手术患者术前深静脉血栓形成(DVT)发生率及其与术后DVT的相关性。骨科和创伤外科档案。2016年10月,136:1459 - 64。 | +1 |- |沿着深静脉系统分布的局部压痛(沿着深静脉系统的压痛通过在小腿后部中心、腘窝间隙、的面积和股静脉前大腿和腹股沟)| + | 1 | - |整个下肢肿胀+ 1 | - |小腿肿胀> 3厘米时较无症状的下肢(10厘米以下胫骨粗隆)| + 1 | - |压凹性水肿局限于下肢症状| + 1 | - |抵押品浅静脉(non-varicose) | + 1 | - |替代诊断可能或大于近端深静脉血栓形成(更常见的替代诊断包括蜂窝织炎,小腿拉伤,贝克囊肿或术后肿胀)| 2 |}“在最初的规模:“所有项目的总分是统计和病人有深静脉血栓形成的概率如下:0 =低概率= 1 - 2点温和的概率,和≥3分=高概率。【参考文献】张建军，张建军，张建军，张建军，张建军，张建军，张建军，张建军，张建军，张建军。《柳叶刀》1995年;345(8961):1326-1330更新版本将评分过程简化为两类:< 2分= DVT不可能，≥2分= DVT可能。韦尔斯PS，安德森博士，罗杰M, Forgie M, Kearon C, Dreyer J, Kovacs G, Mitchell M, Lewandowski B, Kovacs MJ。 Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med 2003; 349:1227–1235 '''Well's Criteria'''Modi S, Deisler R, Gozel K, Reicks P, Irwin E, Brunsvold M, Banton K, Beilman GJ. Wells criteria for DVT is a reliable clinical tool to assess the risk of deep venous thrombosis in trauma patients. World Journal of Emergency Surgery. 2016 Dec;11:1-6. is a valid tool for assessing DVT risk in outpatientWells PS, Anderson DR, Bormanis J, Guy F, Mitchell M, Gray L, Clement C, Robinson KS, Lewandowski B. Value of assessment of pretest probability of deep-vein thrombosis in clinical management. Lancet 1997; 350(9094):1795-1798Geersing GJ, Zuithoff NPA, Kearon C, Anderson DR, Cate-Hoek T, Elf JL, Bates SM, Hoes AW, Kraaijenhagen RA, Oudega R, Schutgens RE, Stevens SM, Woller SC, Wells PS, Moons KG. Exclusion of deep vein thrombosis using the Wells rule in clinically important subgroups: individual patient data meta-analysis. BMJ 2014; 348:g1340 and traumaModi S, Deisler R, Gozel K, Reicks P, Irwin E, Brunsvold M, Banton K, Beilman GJ. Wells criteria for DVT is a reliable clinical tool to assess the risk of deep venous thrombosis in trauma patients. World J Emerg Surg. 2016; 11: 24 patients. It is '''less useful''' for stratifying risk in cancer patients and hospitalized patients as a whole.Silveira PC, Ip IK, Goldhaber SZ, Piazza G, Benson CB, Khorasani R. Performance of Wells Score for Deep Vein Thrombosis in the Inpatient Setting. JAMA Intern Med 2015; 175(7):1112-7 It cannot be used to screen for UE DVT.Heil J, Miesbach W, Vogl T, Bechstein WO, Reinisch A. Deep vein thrombosis of the upper extremity: A systematic review. Dtsch Arztebl Int 2017; 114(14): 244–249

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