中国医药
中國醫藥
중국의약
CHINA MEDICINE
2014年
2期
214-216
,共3页
深静脉血栓%肺动脉栓塞%腔静脉滤器%个体化治疗
深靜脈血栓%肺動脈栓塞%腔靜脈濾器%箇體化治療
심정맥혈전%폐동맥전새%강정맥려기%개체화치료
Deep venous thrombosis%Pulmonary embolism%Vena cava filters%Individualized treatment
目的 总结在下肢深静脉血栓(DVT)治疗中应用个体化治疗方案的临床经验.方法 对2007年9月至2012年3月在安徽省池州市人民医院及江苏南通大学附属医院住院的80例下肢DVT患者,分别针对不同病情给予个体化治疗:20例周围型DVT、下肢症状不严重患者应用单纯抗凝治疗,26例亚急性、无肺栓塞但有肢体肿胀组患者应用下肢浅静脉阻断深静脉灌注溶栓治疗,10例下肢混合型血栓、发病时间小于1周的患者采用深静脉置管溶栓治疗,24例下肢中央型血栓、发病时间小于1周的患者采用腔静脉滤器置入治疗,对临床效果进行观察.结果 4组患者经个体化治疗后,治疗显效率为76.3％ (61/80),有效率为16.3％ (13/80),并发症的发生率为7.5％ (6/80).其中2例合并肺栓塞患者,治疗效果良好,有3例存在抗凝禁忌,有1例因脑出血死亡;治疗后,4组患者健、患肢膝关节上、下15 cm处周径差均比治疗前明显下降,差异有统计学意义(P＜0.05).结论 对于不同病情的下肢DVT患者实施个体化治疗方案疗效确切,治疗效果好.
目的 總結在下肢深靜脈血栓(DVT)治療中應用箇體化治療方案的臨床經驗.方法 對2007年9月至2012年3月在安徽省池州市人民醫院及江囌南通大學附屬醫院住院的80例下肢DVT患者,分彆針對不同病情給予箇體化治療:20例週圍型DVT、下肢癥狀不嚴重患者應用單純抗凝治療,26例亞急性、無肺栓塞但有肢體腫脹組患者應用下肢淺靜脈阻斷深靜脈灌註溶栓治療,10例下肢混閤型血栓、髮病時間小于1週的患者採用深靜脈置管溶栓治療,24例下肢中央型血栓、髮病時間小于1週的患者採用腔靜脈濾器置入治療,對臨床效果進行觀察.結果 4組患者經箇體化治療後,治療顯效率為76.3％ (61/80),有效率為16.3％ (13/80),併髮癥的髮生率為7.5％ (6/80).其中2例閤併肺栓塞患者,治療效果良好,有3例存在抗凝禁忌,有1例因腦齣血死亡;治療後,4組患者健、患肢膝關節上、下15 cm處週徑差均比治療前明顯下降,差異有統計學意義(P＜0.05).結論 對于不同病情的下肢DVT患者實施箇體化治療方案療效確切,治療效果好.
목적 총결재하지심정맥혈전(DVT)치료중응용개체화치료방안적림상경험.방법 대2007년9월지2012년3월재안휘성지주시인민의원급강소남통대학부속의원주원적80례하지DVT환자,분별침대불동병정급여개체화치료:20례주위형DVT、하지증상불엄중환자응용단순항응치료,26례아급성、무폐전새단유지체종창조환자응용하지천정맥조단심정맥관주용전치료,10례하지혼합형혈전、발병시간소우1주적환자채용심정맥치관용전치료,24례하지중앙형혈전、발병시간소우1주적환자채용강정맥려기치입치료,대림상효과진행관찰.결과 4조환자경개체화치료후,치료현효솔위76.3％ (61/80),유효솔위16.3％ (13/80),병발증적발생솔위7.5％ (6/80).기중2례합병폐전새환자,치료효과량호,유3례존재항응금기,유1례인뇌출혈사망;치료후,4조환자건、환지슬관절상、하15 cm처주경차균비치료전명현하강,차이유통계학의의(P＜0.05).결론 대우불동병정적하지DVT환자실시개체화치료방안료효학절,치료효과호.
Objective To summarize the clinical experience of customized therapy in deep venous thrombosis.Methods Totally 80 patients underwent customized therapy from September 2007 to March 2012.20 cases with peripheral deep venous thrombosis and lower extremity symptoms were treated with puring anticoagulation.26cases with of subacute but no pulmonary embolism in limb swelling were treated with deep venous perfusion thrombolysis with superficial venous blocked.10 cases with mixed lower limb thrombosisless than one week were treated with catheter directed thrombolysis.24 cases of with central lower limb thrombosis less than one week were treated with inferior vena cava filters placement.Results After individualized treatment,the significant effective rate was 76.3％ (61/80) ; effective rate was 16.2％ (13/80) ; the incidence of complications was 7.5％ (6/80).Among them,the therapeutic effect of 7 pulmonary embolism was good.There were 3 cases of anticoagulant taboo and 3 cases died of cerebral hemorrhage.After treatment,the perimeter difference of health and limb knee joint in four groups were significantly decreased (P ＜ 0.05).Conclusion Customized therapy in deep venous thrombosis is reliable.
