CAJ | 학술논문

恶性肿瘤是静脉血栓栓塞症(VTE)的高危因素之一。最近一项尸检报告约80%的致命性肺栓塞发生在内科肿瘤患者；外科患者中 VTE 已成为肿瘤术后患者30 d 内的首要死亡原因，远远超过术后出血所致的死亡。FRONTLINE 研究表明只有50%的肿瘤外科医师和5%的肿瘤内科医师对肿瘤患者实施了 VTE 预防，而我国肿瘤相关 VTE 的预防则处于刚刚起步阶段。推动肿瘤患者院内、院外规范化的血栓预防是目前我国肿瘤内、外科医师所面临的紧迫问题。本文就肿瘤合并 VTE 的流行病学、风险评估和院内、院外肿瘤患者 VTE 预防的具体措施做了系统阐述。
악성종류시정맥혈전전새증(VTE)적고위인소지일。최근일항시검보고약80%적치명성폐전새발생재내과종류환자；외과환자중 VTE 이성위종류술후환자30 d 내적수요사망원인，원원초과술후출혈소치적사망。FRONTLINE 연구표명지유50%적종류외과의사화5%적종류내과의사대종류환자실시료 VTE 예방，이아국종류상관 VTE 적예방칙처우강강기보계단。추동종류환자원내、원외규범화적혈전예방시목전아국종류내、외과의사소면림적긴박문제。본문취종류합병 VTE 적류행병학、풍험평고화원내、원외종류환자 VTE 예방적구체조시주료계통천술。
Malignant tumor is one of the risk factors for venous thromboembolism (VTE).A recent autopsy reported that about 80% of fatal pulmonary embolism occurred in patients with tumor in department of internal medicine.VTE has become the first cause of death within 30d after patients received tumors operation,and outdistance the mortality of bleeding after operation.FRONTLINE study showed that only 50% oncological surgery doctors and 5% physicians of cancer made prevention of VTE in cancer patients.But in china prevention of cancer-related VTE is just in the initial stage.So,it is the urgent problem for physicians and surgeons of cancer to promote standardized thromboprophylaxis in/out hospital in cancer patients at present in china.This article formulates the epidemiology,risk assessment of cancer-related VTE,and specific measures to prevention of cancer-related VTE in/out hospital.