中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
9期
902-903
,共2页
崔娜%高磊%庞真贞%周朋哲
崔娜%高磊%龐真貞%週朋哲
최나%고뢰%방진정%주붕철
下肢深静脉血栓%妇科%肿瘤%手术%因素
下肢深靜脈血栓%婦科%腫瘤%手術%因素
하지심정맥혈전%부과%종류%수술%인소
Deep venous thrombosis of lower extremity%Gynecology%Tumor Cancer%Surgery%Factor
目的:分析妇科肿瘤术后发生下肢深静脉血栓原因,并探讨相关防治措施.方法:回顾性分析我院所收治的18例妇科肿瘤患者术后伴下肢深静脉血栓资料为观察组,同时选取18例妇科肿瘤术后不伴下肢深静脉血栓患者作为对照组.分析观察组患者发生下肢深静脉血栓的危险因素及防治情况.结果:经单因素分析,中心静脉置管和输血及介入化疗等因素比较(P<0.05).采用根据多普勒超声和实验室检查及临床表现可确诊下肢深静脉血栓,临床采用抗凝和溶栓等治疗具有较好疗效.结论:输血和开腹手术及中心静脉置管、介入化疗可能为临床妇科肿瘤术后并发下肢深静脉血栓,采用溶栓等治疗可改善患者症状,促进其康复.
目的:分析婦科腫瘤術後髮生下肢深靜脈血栓原因,併探討相關防治措施.方法:迴顧性分析我院所收治的18例婦科腫瘤患者術後伴下肢深靜脈血栓資料為觀察組,同時選取18例婦科腫瘤術後不伴下肢深靜脈血栓患者作為對照組.分析觀察組患者髮生下肢深靜脈血栓的危險因素及防治情況.結果:經單因素分析,中心靜脈置管和輸血及介入化療等因素比較(P<0.05).採用根據多普勒超聲和實驗室檢查及臨床錶現可確診下肢深靜脈血栓,臨床採用抗凝和溶栓等治療具有較好療效.結論:輸血和開腹手術及中心靜脈置管、介入化療可能為臨床婦科腫瘤術後併髮下肢深靜脈血栓,採用溶栓等治療可改善患者癥狀,促進其康複.
목적:분석부과종류술후발생하지심정맥혈전원인,병탐토상관방치조시.방법:회고성분석아원소수치적18례부과종류환자술후반하지심정맥혈전자료위관찰조,동시선취18례부과종류술후불반하지심정맥혈전환자작위대조조.분석관찰조환자발생하지심정맥혈전적위험인소급방치정황.결과:경단인소분석,중심정맥치관화수혈급개입화료등인소비교(P<0.05).채용근거다보륵초성화실험실검사급림상표현가학진하지심정맥혈전,림상채용항응화용전등치료구유교호료효.결론:수혈화개복수술급중심정맥치관、개입화료가능위림상부과종류술후병발하지심정맥혈전,채용용전등치료가개선환자증상,촉진기강복.
Objective: To analyze the causes of deep venous thrombosis after gynecological tumor surgery, and to explore the relevant prevention and control measures.Methods:A retrospective analysis in our hospital were 18 cases of postoperative patients with gynecologic tumor with data of deep venous thrombosis of lower limb as the observation group, at the same time, select the 18 cases of gynecologic oncology postoperative without patients with deep venous thrombosis of lower limb as the control group. The risk factors and prevention of lower extremity deep venous thrombosis in the observation group were analyzed.Results:After univariate analysis, central venous catheters and blood transfusion and infusion chemotherapy and other factors comparison (P<0.05). Used the Doppler ultrasound and laboratory tests and clinical manifestations could be diagnosed with deep vein thrombosis,the clinical use of anticoagulant and thrombolytic therapy had a good effect.Conclusion:Transfusion and laparotomy and central venous catheter, interventional clinical gynecologic oncology chemotherapy may postoperative deep venous thrombosis, thrombolytic therapy may improve symptoms, promote their rehabilitation.