妇产科静脉血栓栓塞症的高危因素及预防研究现状

发布时间：2018-01-18 02:03

本文关键词：妇产科静脉血栓栓塞症的高危因素及预防研究现状　出处：《实用妇产科杂志》2016年09期 　论文类型：期刊论文

【摘要】：静脉血栓栓塞症(VTE)是妇产科常见的并发症,尤其是恶性肿瘤术后患者,肺栓塞一旦发生,预后极差甚至死亡,但研究表明通过精确的血栓风险评估,再行与其危险度相对应的预防措施可大幅度降低血栓发生率。本文总结妇产科临床常见的VTE高危因素,包括妊娠状态、遗传、口服避孕药、肿瘤等,让医生可以针对性地对患者行相应的预防措施;列举了目前国内外预防VTE的主要方法(机械预防、药物预防及联合预防)及国内预防现状,表明患者依从性及医务人员专业度及对VTE重视程度直接决定了高危人群的结局,希望引起临床医生重视这一并发症,引导加强患者的风险意识,提高患者依从性,改善患者预后。
[Abstract]:Venous thromboembolism (VTE) is a common complication in obstetrics and gynecology, especially in postoperative patients with malignant tumor. Once pulmonary embolism occurs, the prognosis is very poor or even death. The prevention measures corresponding to its risk can greatly reduce the incidence of thrombus. This article summarizes the common high risk factors of VTE in gynecology and obstetrics, including pregnancy status, heredity, oral contraceptive, tumor and so on. Doctors can be targeted to patients with appropriate preventive measures; The main methods of preventing VTE at home and abroad (mechanical prevention, drug prevention and combined prevention) and the present situation of domestic prevention are listed. The results showed that patient compliance, professional degree of medical staff and the degree of attention to VTE directly determine the outcome of high-risk groups, hoping to cause clinicians to pay attention to this complication, leading to strengthen the risk awareness of patients. Improve compliance and prognosis of patients.
【作者单位】：中国医科大学附属第一医院;
【基金】：辽宁省自然科学基金(编号:2014021021)
【分类号】：R71
【正文快照】： 静脉血栓栓塞症(venous thromboembolism,VTE)包括深静脉血栓栓塞(DVT)和肺栓塞(PE),是妇产科常见的严重并发症。妇产科患者与VTE诸多危险因素密切相关,研究显示通过恰当的预防措施可以大幅度降低高风险人群发生VTE的风险。预防方法包括机械预防和药物预防,前者临床已广泛应用

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