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静脉剥脱术后临床怀疑肺栓塞。

Clinically suspect pulmonary embolism after vein stripping.

作者信息

Lofgren E P, Coates H L, O'Brien P C

出版信息

Mayo Clin Proc. 1976 Feb;51(2):77-80.

PMID:1246161
Abstract

Clinically suspect but nonfatal pulmonary embolism followed vein surgery in 16 of 4,080 patients operated on over a 10-year period from 1962 to 1971, an incidence of 0.39%. The presence of superficial thrombophlebitis, previous or recent thromboembolic disease, or chronic deep venous insufficiency was a statistically significant factor in patients who had embolism. Prophylactic postoperative anticoagulant treatment in those with a thrombotic background appears justified.

摘要

1962年至1971年的10年间,4080例接受静脉手术的患者中有16例临床疑似但非致命性肺栓塞,发生率为0.39%。浅表血栓性静脉炎、既往或近期血栓栓塞性疾病或慢性下肢深静脉功能不全的存在,在发生栓塞的患者中是具有统计学意义的因素。对有血栓形成背景的患者进行术后预防性抗凝治疗似乎是合理的。

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