妇科手术后下肢静脉血栓病15例分析
【摘要】 目的 探讨妇科手术后下肢静脉血栓病的临床特点及早期预测方法。方法 回顾性分析15例妇科手术后静脉血栓病患者的临床资料及诊断和治疗的方法。结果 患者多在术后1周内起病,好发于左下肢。术后24 h血清纤维蛋白原水平(4.64±0.92)g/L。根据患者情况选用抗凝、溶栓治疗,配合下肢静脉滤器置入,患者均治愈,无并发症发生。结论 术后24 h血清纤维蛋白原水平异常升高可能是下肢静脉血栓病的早期预测指标。抗凝或溶栓治疗,配合下肢静脉滤器置入有较好疗效。
【关键词】 手术后并发症;静脉血栓病
Clinical analysis of 15 postoperative venous thrombosis in gynecology
【Abstract】 Objective To describe the clinical characters of venous thrombosis after gynecological operation and to study the method of early predictive index. Methods The clinical profiles of 15 cases with postoperative venous thrombosis were analyzed retrospectively. Results Postoperative venous thrombosis always happened in 7 days after operation,and left lower limb were often involved. Serum level of fibrinogen after 24 hours of operation was 4.64±0.92 g/L. Anticoagulation or thrombolysis, accompanied with inferior venacwalfilter were used according to patients condition. All the patients were cured without complications. Conclusion Serum level of fibrinogen after 24 hours of operation may be the early predictive index of postoperative venous thrombosis. Anticoagulation or thrombolysis, accompanied with Inferior venacwalfilter were effective treatment.
【Key words】 Postoperative complication; Thrombophlebitis; Venous thrombosis
静脉血栓病包括血栓性浅静脉炎和深静脉血栓形成。下肢静脉血栓病是妇科手术的少见并发症之一。国内的报道较少,发病率目前尚未有确切统计[1]。其中深静脉血栓形成若不及时处理,发生脱落可引起肺栓塞,危及患者生命。本文收集中山大学附属第三医院妇科10年间手术后并发静脉血栓病患者15例临床资料,分析如下。
1 资料与方法
1 临床资料
1.1...
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