下肢深靜脈血栓ppt課件(編輯修改稿)
2024-11-30 16:18 本頁面
【文章內(nèi)容簡介】 10 〈 ? 腹部或盆腔 ? 癌癥手術(shù) 20 10 〈 ? 冠脈搭橋術(shù) 57 〈 1 〈 ? 內(nèi)科制動病 ? 人年齡 ≥ 40歲 5 〈 〈 1 〈 ? ? VTE的危險因素 ? Surgery ? Trauma (major or lower extremity) ? Immobility, paresis ? Malignancy ? Cancer therapy (hormonal, chemotherapy, or radiotherapy) ? Previous VTE ? Increasing age ? Pregnancy and the postpartum period ? Estrogencontaining oral contraception or hormone replacement ? therapy ? Selective estrogen receptor modulators ? Acute medical illness ? Heart or respiratory failure ? Inflammatory bowel disease ? Nephrotic syndrome ? Myeloproliferative disorders ? Paroxysmal nocturnal hemoglobinuria ? Obesity ? Smoking ? Varicose veins ? Central venous catheterization ? Inherited or acquired thrombophilia VTE的絕對危險因素和危險系數(shù) ? Medical patients 10–20％ ? General surgery 15–40％ ? Major gynecologic surgery 15–40％ ? Major urologic surgery 15–40％ ? Neurosurgery 15–40％ ? Stroke 20–50％ ? Hip or knee arthroplasty, hip fracture surgery 40–60％ ? Major trauma 40–80％ ? Spinal cord injury 60–80％ ? Critical care patients 10–80％ 惡性腫瘤患者的預(yù)防 ? 惡性腫瘤患者的 VTE發(fā)生率增加 6倍，目前有文獻報道最易導(dǎo)致 VTE的腫瘤部位依次為：腦、卵巢、胰腺、結(jié)腸、胃、肺、前列腺和腎臟 ? 腫瘤患者手術(shù)導(dǎo)致 VTE較非腫瘤患者增加 2倍，發(fā)生致命性 PE增加 3倍 ?
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