CAJ | 학술논문

目的：探讨恶性肿瘤并发血栓患者的临床危险因素和疾病特点。方法：选取2009年11月至2011年6月43例确诊的恶性肿瘤并发血栓性疾病患者列入实验组，取同期诊治的43例恶性肿瘤且未发生血栓并发症患者43例列入对照组，对比分析并发血栓患者的临床危险因素、实验室指标、治疗和预后。结果：恶性肿瘤并发血栓性疾病复发率高，患者生存率低；该病高发于肿瘤确诊后2个月内，治疗前红细胞计数、血浆凝血酶原时间、D-二聚体等实验室指标明显变化，恶性肿瘤并发血栓的危险因素包括地塞米松用药、手术刺激、输血、化疗、感染等。结论：及早发现，正确诊断，积极预防、治疗血栓性疾病有助于恶性肿瘤患者的临床疗效。
목적：탐토악성종류병발혈전환자적림상위험인소화질병특점。방법：선취2009년11월지2011년6월43례학진적악성종류병발혈전성질병환자렬입실험조，취동기진치적43례악성종류차미발생혈전병발증환자43례렬입대조조，대비분석병발혈전환자적림상위험인소、실험실지표、치료화예후。결과：악성종류병발혈전성질병복발솔고，환자생존솔저；해병고발우종류학진후2개월내，치료전홍세포계수、혈장응혈매원시간、D-이취체등실험실지표명현변화，악성종류병발혈전적위험인소포괄지새미송용약、수술자격、수혈、화료、감염등。결론：급조발현，정학진단，적겁예방、치료혈전성질병유조우악성종류환자적림상료효。
Objective:To investigate the clinical risk factors and characteristics of patients with malig-nant tumor complicated with thrombosis .Method: From Nov.2009 to Jun.2011, 43 cases of malignant tumor patients with thrombotic diseases included in the experimental group , 43 cases of malignant tumor di-agnosis and treatment and take over the same period without the occurrence of thrombotic complications in 43 patients as control group , analysis , treatment and prognosis of clinical risk factors of thrombosis in patients with laboratory index , contrast .Result: Malignant tumor patients with thrombotic disease with high recur-rence rate, survival rate was low;the disease incidence in cancer diagnosed after 2 months before treatment , red blood cell count , prothrombin time , D-two dimer and other laboratory indicators of change , risk factors of malignant tumor complicated with thrombosis including dexamethasone administration , operation stimula-tion, blood transfusion, chemotherapy infection, etc.Conclusion: The clinical should take early discovery for correct diagnosis , which can improve the total effective rate by energetic prevention and treatment .