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The ultrasound examination of the deep vein thrombosis
Authors:Taniguchi Nobuyuki  Ono Tomoko  Itoh Kouichi
Affiliation:Department of Clinical Laboratory Medicine, Jichi Medical School, Minami-kawachi-town, Tochigi-pref. 329-0498.
Abstract:Ultrasonography is very useful for detection of deep vein thrombosis. The purpose of this paper is to show a method for detecting them efficiently by high resolution transducer and color Doppler system. We examined patients in the supine and prone positions. To detect the venous flow easily and differentiate thrombi from simple venous dilatation, some maneuvers are useful; one is pushing the vein area using the transducer on examination, the second is breathing overload, and the last is so-called milking. We can find throombi in the external iliac or femoral veins of patients who have symptoms of lower leg swelling, however, we need to better detect venous thrombi in the lower leg in patients with a history of pulmonary embolism. Because deep venous thrombi are increasing, the role of ultrasound will expand in the future.
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