Key Difference – DVT vs PAD
DVT lossis Deep Vein Thrombosis tuaj yeem txhais tau tias yog qhov sib sib zog nqus ntawm cov hlab ntsha sib sib zog nqus los ntawm thrombus. Peripheral Arterial Disease (PAD) yog tus cwj pwm los ntawm occlusion ntawm cov hlab ntsha los ntawm cov atherosclerotic plaques. Yog li ntawd, raws li lawv cov npe qhia, qhov sib txawv tseem ceeb ntawm DVT thiab PAD nyob rau hauv qhov chaw ntawm occlusion; DVT yog ib qho tshwm sim ntawm qhov occlusion ntawm cov hlab ntsha whereas PAD yog vim occlusion ntawm cov hlab ntsha.
DVT yog dab tsi?
Kev tso tawm ntawm cov hlab ntsha sib sib zog nqus los ntawm thrombus hu ua deep vein thrombosis. DVT ntawm ob txhais ceg yog daim ntawv ntau tshaj plaws ntawm DVT thiab nws muaj qhov txaus ntshai ntawm kev tuag.
Risk Factors
Patient factor
- nce hnub nyoog
- Kev rog
- Varicose veins
- Kev cev xeeb tub
- Kev siv tshuaj tiv thaiv qhov ncauj
- tsev neeg keeb kwm
Kev phais mob
Txhua qhov kev phais mob ntev tshaj peb caug feeb
Tshuaj Kho Mob
- mob plawv mob plawv
- kab mob plab hnyuv loj
- kev phem
- Nephrotic Syndrome
- Pneumonia
- Hematological kab mob
Tshuaj Kho Mob
Feem ntau, qis qis DVT pib nyob rau hauv cov hlab ntsha distal thiab yuav tsum xav tias thaum tus neeg mob yws txog,
- pab
- o ntawm ceg qis
- Qhov kub nce hauv qis qis
Txawm hais tias cov tsos mob no nquag tshwm sim ib leeg nws muaj peev xwm ua tau rau lawv ob sab thiab. Tab sis ob tog DVT yuav luag ib txwm cuam tshuam nrog comorbidities xws li malignancies thiab txawv txav hauv IVC.
Thaum twg tus neeg mob tau ntsib cov tsos mob li hais saum toj no, cov kev pheej hmoo rau DVT yuav tsum tau muab coj los xav. Thaum kuaj xyuas, yuav tsum tau saib xyuas tshwj xeeb rau kev txheeb xyuas txhua yam mob phem. Txij li thaum nws muaj peev xwm muaj pulmonary embolism ua ke nrog DVT, cov tsos mob thiab cov tsos mob ntawm pulmonary embolism yuav tsum tau kuaj.
Ib txheej ntawm kev kho mob hu ua Wells qhab nia yog siv los ntsuas cov neeg mob raws li lawv qhov yuav muaj DVT.
Daim duab 01: DVT
Kev tshawb nrhiav
Kev xaiv ntawm kev tshawb nrhiav nyob ntawm Wells tus qhab nia ntawm tus neeg mob.
Nyob rau hauv cov neeg mob uas tsis tshua muaj tshwm sim ntawm DVT
D dimer kev sim ua tiav thiab yog tias cov txiaj ntsig zoo li qub tsis tas yuav tsum tau ua kev tshawb nrhiav ntxiv kom tsis suav nrog DVT.
Nyob rau hauv cov neeg mob uas muaj qhov nruab nrab mus rau qhov muaj feem ntau thiab hauv cov neeg mob uas koom nrog cov pawg saum toj no uas nws qhov kev xeem D dimer yog siab
Compression ultrasound scan yuav tsum ua tiav. Nyob rau tib lub sijhawm, nws tseem ceeb heev uas yuav tsum tau tshawb xyuas kom tsis suav nrog cov kab mob hauv qab xws li mob plab pelvic malignancies.
Kev tswj hwm
Qhov no suav nrog kev kho anticoagulation ua lub hauv paus ua ke nrog kev nce siab thiab kev ua kom tsis haum. Thrombolysis yuav tsum raug suav hais tias yog ib qho kev xaiv nkaus xwb yog tias tus neeg mob nyob hauv lub neej hem. Hauv kev kho anticoagulation thawj zaug, LMWH yog tswj hwm thiab nws ua raws li coumarin anticoagulant xws li warfarin
PAD yog dab tsi?
Kab mob peripheral arterial yog tus cwj pwm los ntawm kev cuam tshuam ntawm cov hlab ntsha los ntawm cov atherosclerotic plaques.
Risk Factors
- Smoking
- Hypertension
Kev kho mob tshwm sim
Kev kho mob tshwm sim ntawm PAD yog nyob ntawm 4 yam tseem ceeb.
- qhov chaw anatomical
- Nyob ntawm qhov khoom siv nyiaj txiag
- Speed of pib
- Mechanism of raug mob
Chronic Lower Limb Ischemia
PAD cuam tshuam rau cov ceg qis dua ntau dua li cov ceg tawv.
Nyob rau hauv qis qis qis ischemia, tus neeg mob nthuav tawm nrog ob qhov chaw kho mob tseem ceeb.
Ntseeg Claudication
Ib qho mob hnyav feem ntau hnov hauv cov nyuj thaum taug kev. Qhov no yog qhov mob ischemic uas tshwm sim los ntawm qhov tsis muaj ntshav txaus rau cov leeg. Qhov chaw ntawm qhov mob txawv raws li cov hlab ntsha uas cuam tshuam. Mob yog hnov nyob rau hauv lub calf yog hais tias lub femoral hlab ntsha yog occluded thiab yog hais tias nws yog cov hlab ntsha iliac uas yog blocked mob yuav hnov nyob rau hauv tus ncej puab los yog hauv lub pob tw.
Critical Limb Ischemia
Tus mob no raug txheeb xyuas raws li rau 6 yam.
- Hmo / so mob
- Kev xav tau ntawm opiates ua cov tshuaj tua kab mob
- Txo cov tawv nqaij kub hauv qis qis
- Tissue poob (ulceration)
- Duration (ntau dua 2 lub lis piam)
- pob taws ntshav siab (tsawg dua 50mmHg)
Tshuaj Kho Mob
- Pulses ploj zuj zus lossis tsis tuaj
- Nyob rau hauv bruits
- Buerger's kos npe
- Muscle nkim
- poob plaub hau
- Nyob, nyias, thiab nkig rau tes
Kab Mob Ntshav Qab Zib
Yuav ua li cas ntshav qab zib predispose PAD?
Buerger's Disease
Qhov no yog ib qho mob uas cuam tshuam rau cov hlab ntsha uas qhov kev hloov pauv ua rau cov hlab ntsha obliteration. Buerger tus kab mob feem ntau pom ntawm cov txiv neej hluas haus luam yeeb.
Kab Mob Ntsws Upper Limb Arterial Disease
Subclavian hlab ntsha yog qhov chaw sib koom ua ke.
Kev kho mob tshwm sim ntawm tus mob no yog,
- Cawm caj npab
- Atheroembolism
- Subclavian steal
Raynaud's Phenomenon
Kev mob khaub thuas thiab kev ntxhov siab tuaj yeem ua rau vasospasms ua rau cov yam ntxwv ntawm cov xwm txheej hu ua Raynaud's phenomenon uas suav nrog,
- Digital pallor
- Cyanosis
- Rubor
Daim duab 02: PAD
Dab tsi zoo sib xws ntawm DVT thiab PAD?
- Nyob rau hauv ob qho xwm txheej peb tau tham txog ntawm no, nws yog qhov occlusion ntawm cov hlab ntsha uas ua lub hauv paus rau tag nrho cov teeb meem pathological.
- Ob leeg DVT thiab PAD feem ntau cuam tshuam rau qis qis.
Qhov txawv ntawm DVT thiab PAD yog dab tsi?
DVT vs PAD |
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| DVT lossis tob vein thrombosis tuaj yeem txhais tau tias yog qhov occlusion ntawm cov hlab ntsha sib sib zog nqus los ntawm thrombus. | Kab mob peripheral arterial (PAD) yog tus cwj pwm los ntawm kev cuam tshuam ntawm cov hlab ntsha los ntawm cov atherosclerotic plaques. |
| Nyob zoo | |
| Vim yog occluded hauv DVT. | Cov hlab ntsha yog occluded hauv PAD. |
Summary – DVT vs PAD
Nws yog ib qho tseem ceeb kom nkag siab qhov sib txawv ntawm DVT thiab PAD kom meej meej, txhawm rau ua kom qhov tseeb thiab kho cov mob no. Ib qho tseem ceeb uas yuav tsum tau pom yog tias dhau los ntawm kev hloov kho lub neej feem ntau ntawm cov kev pheej hmoo rau DVT thiab PAD tuaj yeem raug tshem tawm ntawm qhov sib npaug. Yog li qhov tseem ceeb ntawm kev ua kom cov zej zog muaj kev paub txog kev tiv thaiv kev hloov pauv hauv lub neej no yuav tsum tau hais meej vim tias nws yog ib txwm zoo los tiv thaiv tus kab mob dua li kev sim kho nws.
Download PDF Version of DVT vs PAD
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li cov ntawv sau tseg. Thov download PDF version ntawm no Qhov txawv Ntawm DVT thiab PAD.
