中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
18期
2761-2763
,共3页
下肢深静脉血栓%临床多因素%分析
下肢深靜脈血栓%臨床多因素%分析
하지심정맥혈전%림상다인소%분석
Deep vein thrombosis%Clinical multifactor%Analysis
目的 分析下肢深静脉血栓形成的危险因素.方法 对80例下肢深静脉血栓形成患者的发病因素进行回顾性分析,寻找影响下肢深静脉血栓的危险因素.结果 女性发病年龄多为40～ 70岁,男性发病年龄多在60～80岁,50岁以下女性的发病率高于男性,50岁以上女性发病率低于男性.患者下肢深静脉血栓的发病部位左下肢55例,右下肢28例,双下肢7例.80例患者中可找到诱因的有76例,35例为手术所致,占43.75％,其中外伤手术19例,肿瘤手术5例,其他疾病手术10例;外伤诱发21例,占26.27％;高血压患者9例,占11.25％;4例有既往血栓性病史,占5.00％;3例感染性疾病,占3.75％;4例糖尿病患者,占5.00％.不明原因的有4例,占5.00％.结论 手术、外伤、肿瘤、高血压、糖尿病、感染性疾病和既往血栓病史是造成下肢深静脉血栓的重要危险性因素.手术和外伤患者在伤口愈合不受影响的情况下,需尽早下床活动.
目的 分析下肢深靜脈血栓形成的危險因素.方法 對80例下肢深靜脈血栓形成患者的髮病因素進行迴顧性分析,尋找影響下肢深靜脈血栓的危險因素.結果 女性髮病年齡多為40～ 70歲,男性髮病年齡多在60～80歲,50歲以下女性的髮病率高于男性,50歲以上女性髮病率低于男性.患者下肢深靜脈血栓的髮病部位左下肢55例,右下肢28例,雙下肢7例.80例患者中可找到誘因的有76例,35例為手術所緻,佔43.75％,其中外傷手術19例,腫瘤手術5例,其他疾病手術10例;外傷誘髮21例,佔26.27％;高血壓患者9例,佔11.25％;4例有既往血栓性病史,佔5.00％;3例感染性疾病,佔3.75％;4例糖尿病患者,佔5.00％.不明原因的有4例,佔5.00％.結論 手術、外傷、腫瘤、高血壓、糖尿病、感染性疾病和既往血栓病史是造成下肢深靜脈血栓的重要危險性因素.手術和外傷患者在傷口愈閤不受影響的情況下,需儘早下床活動.
목적 분석하지심정맥혈전형성적위험인소.방법 대80례하지심정맥혈전형성환자적발병인소진행회고성분석,심조영향하지심정맥혈전적위험인소.결과 녀성발병년령다위40～ 70세,남성발병년령다재60～80세,50세이하녀성적발병솔고우남성,50세이상녀성발병솔저우남성.환자하지심정맥혈전적발병부위좌하지55례,우하지28례,쌍하지7례.80례환자중가조도유인적유76례,35례위수술소치,점43.75％,기중외상수술19례,종류수술5례,기타질병수술10례;외상유발21례,점26.27％;고혈압환자9례,점11.25％;4례유기왕혈전성병사,점5.00％;3례감염성질병,점3.75％;4례당뇨병환자,점5.00％.불명원인적유4례,점5.00％.결론 수술、외상、종류、고혈압、당뇨병、감염성질병화기왕혈전병사시조성하지심정맥혈전적중요위험성인소.수술화외상환자재상구유합불수영향적정황하,수진조하상활동.
Objective To analyze the deep venous thrombosis incentives.Methods The pathogenic factors of 80 cases with deep vein thrombosis were retrospectively analyzed,and risk factors for deep vein thrombosis were explored.Results The incidence of women over the age of 40-70 years old,male age over 60-80 years of age,the incidence rate in women under the age of 50 males,50 females over the age of incidence than men.The incidence of deep venous thrombosis in patients with parts of the left lower limb 55 cases,28 cases of right lower extremity,lower extremity seven cases.80 patients incentives can be found in 76 cases,35 cases of surgery-induced,accounting 43.75％,of which 19 cases of trauma,tumor surgery in 5 cases,10 cases of other diseases surgery;trauma induced 21 cases,accounting for 26.27％ ; higher BP 9 patients,accounting for 11.25 ％ ;4 patients had a history of previous thrombotic,accounting for 5.00％ ;3 cases of infectious diseases,accounting for 3.75 ％ ;4 cases of diabetes,accounting for 5％.There were 4 cases of unexplained,accounting for 5.00％.Conclusion Surgery,trauma,cancer,hypertension,diabetes,infectious diseases and past history of thrombosis are the important risk factors of deep vein thrombosis.Surgery and trauma patients in case of wound healing is not affected,getting out of bed is needed as soon as possible.
