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首页> 外文期刊>Journal of athletic training >Posttraumatic Deep Vein Thrombosis in Collegiate Athletes: An Exploration Clinical Case Series
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Posttraumatic Deep Vein Thrombosis in Collegiate Athletes: An Exploration Clinical Case Series

机译：创伤后深静脉血栓形成的大学运动员：探索临床病例系列。

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Background: Although athletes are typically at low risk for developing venous thromboembolism (VTE), injured and noninjured athletes alike can be exposed to many acquired risk factors, including intense training, dehydration, trauma, immobilization, oral contraceptive use, and long-distance travel. Additionally, the risk of developing VTE might be increased by unidentified genetic clotting disorders. Due to the potential for fatal outcomes, knowledge of VTE pathoetiology and recognition of deep vein thrombosis (DVT) presentation should be an inherent part of the evaluation process for all who attend to athletes, regardless of age and apparent risk profile. Objective: To present an exploration clinical case series consisting of 2 otherwise healthy, college-aged female athletes who, despite their ages and relative low risk profiles, experienced DVTs after lower extremity trauma. Each case will be discussed relative to known clinical prediction rules (CPRs) and published evidence. Conclusions: Collectively, both cases reinforce the need for the attending clinicians to perform a thorough history and pay attention to subtle clinical findings, regardless of the relatively low risk in college-aged athletes. Although the Wells' CPRs for DVT can be used as a diagnostic guideline in the general population, it might not fully address the risks inherent in a young, otherwise healthy athletic population. We propose a risk-screening tool that is based on and modified from our experiences with these 2 patients and the known prediction rules and positive probability influences.
机译：背景：尽管运动员通常处于发生静脉血栓栓塞（VTE）的风险较低，但受伤和未受伤的运动员都可能会面临许多后天的风险因素，包括剧烈训练，脱水，外伤，固定，口服避孕药和长途旅行。此外，未确定的基因凝血障碍可能会增加发生VTE的风险。由于可能会产生致命的后果，因此对于所有参加运动员的运动员，无论年龄和明显的风险状况如何，其VTE病理学知识和对深静脉血栓形成（DVT）表现的识别都应成为评估过程的固有部分。目的：提出一个探索性临床案例系列，该系列由2位健康，大学年龄的女运动员组成，尽管他们的年龄和相对较低的风险状况，但他们在下肢创伤后均经历了DVT。将针对已知的临床预测规则（CPR）和公开的证据讨论每种情况。结论：总的来说，这两种情况都增加了对主治医生进行完整病史并注意细微的临床发现的需要，无论大学生运动员的风险相对较低。尽管可以将DVT的Wells CPR用作一般人群的诊断指南，但它可能无法完全解决年轻且健康的运动人群的固有风险。我们提出了一种风险筛查工具，该工具基于并根据我们对这两名患者的经验以及已知的预测规则和正概率影响进行了修改。

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