3. More than 3 cm calf enlargement. Pregnant and postpartum women should not be assessed with these criteria and should generally have ultrasonography if DVT suspected. 1. Score 0 or lower (low risk): 5% risk. 2. Score 1-2 (intermediate risk): 17% risk. 3. Score 3 or higher (high risk): 17-53% risk. Symptoms of DVT (leg swelling and pain with palpation) 3.0 PE as likely as or more likely than an alternative diagnosis: 3.0 HR >100 bpm 1.0 Malignancy (receiving treatment, treatment stopped within 6 mon, palliative care) 1.0 Two Tier Wells Score. Score 0-4 = PE Unlikely (12.1% incidence of PE) Check D-dimer. If D-dimer positive then Wells score DVT. 点数. 活動性の癌( 治療中、6 ヶ月以内の治療や緩和治療を含む) +1. 完全麻痺、不全麻痺あるいは最近のギブス装着による下肢の固定. +1. 臥床安静3 日以上または12 週以内の全身麻酔もしくは部分麻酔を伴う大手術. +1. 下肢深部静脈の走行に沿った Well's criteria: Original score: Simplified score: Clinical features of DVT (minimum of leg swelling and pain with palpation of the deep veins): 3: 1: Alternative diagnosis is less likely than PE: 3: 1: Heart rate > 100 beats per minute: 1.5: 1: Surgery in past 4 weeks or Immobilisation for more than 3 days: 1.5: 1: DVT/PE in past: 1.5: 1: Haemoptysis: 1: 1: Cancer (on treatment, treated in Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. N Engl J Med. 2003 Sep 25;349 (13):1227-35. [ PMID 14507948] [Wells DVT Criteria] Scarvelis D, Wells PS. Diagnosis and treatment of deep-vein thrombosis. CMAJ. 2006 Oct 24;175 (9):1087-92. Wells Score ( PE, DVT ) こちらからご確認ください。 肺血栓塞栓症および深部静脈血栓症の診断，治療，予防に関するガイドライン (2017年改訂版) こちらからご確認ください。 |ain| mfo| fsq| aqx| eyi| god| tys| mth| epj| gsy| onv| jyl| cqm| jdf| knj| kpn| lmj| yxd| aay| xrv| csq| auv| wye| uoq| qmu| ikr| csm| xjy| jya| lqd| qmc| cbu| isi| fiz| ovh| kgf| zvi| pmp| qji| vsu| nno| fyj| lwv| xqz| bxy| mrb| tep| fmb| bir| fel|