The Value of Portable Ultrasound Diagnosis in Screening Peripheral Vein Thrombosis of the Injured Victims in Lushan Earthquake on April 20, 2013_West China Medical Journal

Authors：

 WANGMing-yu , XIEHua-yu , ZHANGYue , QINGYing-cai ,  WENXiao-rong

Department of Ultrasound, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

WENXiao-rong, Email: hxwenxiaor@126.com

Keywords：

Portable ultrasound; Peripheral vein; Thrombosis; Earthquake

DOI：

10.7507/1002-0179.20150019

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the value of portable ultrasound in assessing peripheral vein thrombosis of the injured in Lushan earthquake on April 20, 2013. Methods From April 20th to May 5th in 2013, 321 earthquake victims were admitted into our hospital, and 203 fractured patients of them accepted peripheral venous two-dimensional and color doppler ultrasound examination beside the bed every three days. Results Sixty-three patients (82 locations) suffered from venous thrombosis in the 203 earthquake victims, and the rate was 31.03% (63/203). Among them, one suffered from iliac vein thrombosis; 53 patients (71 limbs) were attacked by lower limb venous thrombosis; 9 patients (10 limbs) suffered from upper limb venous thrombosis. The time was from 2 to 15 days after trauma when the victims were diagnosed to have thrombus at the first time, averaging (6.1±3.8) days. On admission day, 45 victims were diagnosed with peripheral vein thrombosis. Among them, 19 patients increased the scope of thrombus after admission in hospital, while 26 victims reduced the scope. Eighteen victims suffered from newly developed peripheral venous thrombus after admission in hospital. None of the hospitalized patients died of pulmonary embolism. Conclusions The victims injured in the earthquake have a high incidence of peripheral vein thrombosis, and the calf is the main site of the disease. After trauma, peripheral venous thrombosis occurs within a short time. Bedside portable ultrasound is the first choice for peripheral vein thrombosis in the earthquake victims.

Citation： WANGMing-yu, XIEHua-yu, ZHANGYue, QINGYing-cai, WENXiao-rong. The Value of Portable Ultrasound Diagnosis in Screening Peripheral Vein Thrombosis of the Injured Victims in Lushan Earthquake on April 20, 2013. West China Medical Journal, 2015, 30(1): 70-73. doi: 10.7507/1002-0179.20150019 Copy

1.	呂玲環, 王星, 王磌, 等.下肢深靜脈血栓彩色多普勒超聲顯像的探討[J].中國超聲醫學雜志, 2001, 17(8):44-46.
2.	郝淑琴.下肢靜脈血栓形成60例彩色多普勒超聲診斷分析[J].中國實用醫藥, 2011, 6(14):124-125.
3.	王志生, 王慧麗, 高照賓, 等. 696例創傷后早期深靜脈血栓的流行病學特征[J].創傷外科雜志, 2009, 11(1):83-85.
4.	Terakami T, Ohba N, Morishita E. Deep vein thrombosis in Noto Peninsula earthquake victims[J]. Rinsho Byori, 2009, 57(5):411-416.
5.	Shibata M, Hanzawa K, Ueda S, et al. Deep venous thrombosis among disaster shelter inhabitants following the March 2011 earthquake and tsunami in Japan:a descriptive study[J]. Phlebology, 2014, 29(4):257-266.
6.	Ueda S, Hanzawa K, Shibata M, et al. High prevalence of deep vein thrombosis in tsunami-flooded shelters established after the great East-Japan earthquake[J]. Tohoku J Exp Med, 2012, 227(3):199-202.
7.	于蕾, 宋奕寧, 張珊珊, 等.彩色多普勒超聲探測小腿肌間靜脈擴張與單純肌間靜脈血栓的關系[J].臨床超聲醫學雜志, 2009, 11(6):380-382.
8.	張宇, 薛恩生, 林禮務, 等.圍手術期小腿深靜脈血栓的早期超聲診斷及預后[J].臨床超聲醫學雜志, 2010, 12(3):162-164.
9.	Shorter M, Macias DJ. Portable handheld ultrasound in austere environments:use in the Haiti disaster[J]. Prehosp Disaster Med, 2012, 27(2):172-177.
10.	Hirsh J, Lee AY. How we diagnose and treat deep vein thrombosis[J]. Blood, 2002, 99(9):3102-3110.
11.	韓秋, 劉彥麗, 李廣霞, 等.彩色多普勒超聲檢查下肢深靜脈血栓的診斷意義[J].中外醫療, 2010, 29(25):171-172.
12.	張曉蓉, 何文, 唐華, 等.小腿靜脈血栓的影像學診斷[J].中國醫學影像技術, 2004, 20(7):1064-1067.

1. 呂玲環, 王星, 王磌, 等.下肢深靜脈血栓彩色多普勒超聲顯像的探討[J].中國超聲醫學雜志, 2001, 17(8):44-46.
2. 郝淑琴.下肢靜脈血栓形成60例彩色多普勒超聲診斷分析[J].中國實用醫藥, 2011, 6(14):124-125.
3. 王志生, 王慧麗, 高照賓, 等. 696例創傷后早期深靜脈血栓的流行病學特征[J].創傷外科雜志, 2009, 11(1):83-85.
4. Terakami T, Ohba N, Morishita E. Deep vein thrombosis in Noto Peninsula earthquake victims[J]. Rinsho Byori, 2009, 57(5):411-416.
5. Shibata M, Hanzawa K, Ueda S, et al. Deep venous thrombosis among disaster shelter inhabitants following the March 2011 earthquake and tsunami in Japan:a descriptive study[J]. Phlebology, 2014, 29(4):257-266.
6. Ueda S, Hanzawa K, Shibata M, et al. High prevalence of deep vein thrombosis in tsunami-flooded shelters established after the great East-Japan earthquake[J]. Tohoku J Exp Med, 2012, 227(3):199-202.
7. 于蕾, 宋奕寧, 張珊珊, 等.彩色多普勒超聲探測小腿肌間靜脈擴張與單純肌間靜脈血栓的關系[J].臨床超聲醫學雜志, 2009, 11(6):380-382.
8. 張宇, 薛恩生, 林禮務, 等.圍手術期小腿深靜脈血栓的早期超聲診斷及預后[J].臨床超聲醫學雜志, 2010, 12(3):162-164.
9. Shorter M, Macias DJ. Portable handheld ultrasound in austere environments:use in the Haiti disaster[J]. Prehosp Disaster Med, 2012, 27(2):172-177.
10. Hirsh J, Lee AY. How we diagnose and treat deep vein thrombosis[J]. Blood, 2002, 99(9):3102-3110.
11. 韓秋, 劉彥麗, 李廣霞, 等.彩色多普勒超聲檢查下肢深靜脈血栓的診斷意義[J].中外醫療, 2010, 29(25):171-172.
12. 張曉蓉, 何文, 唐華, 等.小腿靜脈血栓的影像學診斷[J].中國醫學影像技術, 2004, 20(7):1064-1067.

West China Medical Journal

The Value of Portable Ultrasound Diagnosis in Screening Peripheral Vein Thrombosis of the Injured Victims in Lushan Earthquake on April 20, 2013

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content