CAJ | 학술논문

目的探讨介入溶栓治疗下肢深静脉血栓形成(DVT)的疗效.方法回顾性分析2009年3月至2011年3月入住我科的67例DVT患者的临床资料,均经股静脉穿刺置入溶栓导管行介入溶栓,同时予抗凝、活血、祛聚治疗,其中24例溶栓前行下腔静脉滤器植入.患者出院后均口服华法林继续抗凝治疗.结果 67例患者中,显效58例(86.6％),有效9例(13.4％).临床治愈时间10 ～25 d,平均(18±8)d,均未发生严重并发症.61例患者获得随访,随访时间为1～20个月,随访率为92.0％ (61/67).结论 DVT患者应及早诊断,治疗时间越早,效果越好,及时应用介入溶栓联合抗凝、活血等治疗是提高疗效和预防DVT后遗症的有效方法.
목적 탐토개입용전치료하지심정맥혈전형성(DVT)적료효.방법 회고성분석2009년3월지2011년3월입주아과적67례DVT환자적림상자료,균경고정맥천자치입용전도관행개입용전,동시여항응、활혈、거취치료,기중24례용전전행하강정맥려기식입.환자출원후균구복화법림계속항응치료.결과 67례환자중,현효58례(86.6％),유효9례(13.4％).림상치유시간10 ～25 d,평균(18±8)d,균미발생엄중병발증.61례환자획득수방,수방시간위1～20개월,수방솔위92.0％ (61/67).결론 DVT환자응급조진단,치료시간월조,효과월호,급시응용개입용전연합항응、활혈등치료시제고료효화예방DVT후유증적유효방법.
Objective To study the effect of interventional thrombolytic on deep venous thrombosis (DVT).Methods All 67 cases of DVT were retrospectively analyzed from March 2009 to March 2011.Catheter was inserted through the femoral vein to implement interventional thrombolysis; meanwhile rendering anticoagulation,blood circulation and remove poly treatment were given.Twenty-four cases were implanted inferior vena cava filter before thrombolytic.All patients were required to continue oral warfarin to anticoagulant therapy.Results Among 67 cases,the basic cure cases were 58,accounting for 86.6％ ; effective cases were 9,accounting for 13.4％ ; no valid cases were observed.Clinical cure time was 10-25 d with an average of (18 ± 8)d; no serious complications were observed.Sixty-one patients were followed up for 1 month to 20 months; follow-up rate was 92.0％ (61/67).Conclusion The patients with DVT should be strived to achieve early diagnosis and treatment;timely application of intervention thrombolytic therapy combined with anticoagulation,blood circulation and other treatment can prevent DVT sequelae.