CAJ | 학술논문

目的探讨下肢深静脉血栓形成(DVT)发病的相关高危因素.方法对2010年1月至2012年12月期间在成都军区昆明总医院血管外科住院的1264例下肢DVT患者的临床资料进行回顾性分析.结果 1264例患者当中,年龄≥40岁的有984例,占77.85％;无明显诱因发病的有642例,占50.79％;发病前有明确外伤史(未行手术治疗)的142例,占11.23％;手术后发病的有316例,其中骨科手术史142例,占11.23％;妇产科手术史90例,占7.12％;普外科手术史42例,占3.32％;血管外科手术史23例,占1.82％;泌尿外科手术史12例,占0.94％;其他手术7例,占0.55％;慢性疾病长期卧床后发病的有10例,占0.79％;妊娠期或产褥期发病的有20例,占1.58％;恶性肿瘤患者25例,占1.98％;类风湿关节炎长期使用激素后发病的有10例,占0.79％;继发于下肢静脉曲张的有27例,占2.14％;吸毒史8例,占0.63％;抑郁症2例,占0.16％;下肢DVT复发的62例,占4.9％.结论下肢深静脉血栓形成成因影响因素较多,因此重在预防.对于存在高危因素的患者,应加强DVT的防治.
목적 탐토하지심정맥혈전형성(DVT)발병적상관고위인소.방법 대2010년1월지2012년12월기간재성도군구곤명총의원혈관외과주원적1264례하지DVT환자적림상자료진행회고성분석.결과 1264례환자당중,년령≥40세적유984례,점77.85％;무명현유인발병적유642례,점50.79％;발병전유명학외상사(미행수술치료)적142례,점11.23％;수술후발병적유316례,기중골과수술사142례,점11.23％;부산과수술사90례,점7.12％;보외과수술사42례,점3.32％;혈관외과수술사23례,점1.82％;비뇨외과수술사12례,점0.94％;기타수술7례,점0.55％;만성질병장기와상후발병적유10례,점0.79％;임신기혹산욕기발병적유20례,점1.58％;악성종류환자25례,점1.98％;류풍습관절염장기사용격소후발병적유10례,점0.79％;계발우하지정맥곡장적유27례,점2.14％;흡독사8례,점0.63％;억욱증2례,점0.16％;하지DVT복발적62례,점4.9％.결론 하지심정맥혈전형성성인영향인소교다,인차중재예방.대우존재고위인소적환자,응가강DVT적방치.
Objective To explore the risk factors of deep vein thrombosis (DVT) in lower extremities.Methods Retrospective data analyses were performed for a total of 1264 DVT patients at our department from January 2010 to December 2012.Results Among them,984 cases (77.85％) were over 40 years old,no overt cause was found for 642 cases (50.79％),142 cases (11.23％) had a clear history of trauma before onset (without surgery).Among 316 recurrent postoperative cases,there were the surgical histories of orthopedics (n =142,11.23％),gynecology (n =90,7.12％),general practice (n =42,3.32％),vascular (n =23,1.82％),urological (n =12,0.94％) and others (n =7,0.55％).Ten cases (0.79％) occurred after suffering bedridden chronic diseases.And 20 cases (1.58％) were caused by conditions during pregnancy or postpartum period,had Malignant tumors were found in 25 (1.98％) patients.After long-term uses of hormones,10 patients (0.79％) of rheumatoid arthritis had a recurrence.Owing to varicose veins,27 patients (2.14％) recurred.Eight patients (0.63％) had a history of drug abuse,2 cases (0.16％) suffered depression and 62 cases (4.9％) were recurrent.Conclusion There are many causative factors of DVT so that prevention is of great importance.We should pay more attention to the prevention and treatment of high-risk DVT patients.