Rabens Clayton, Goodemote Patricia, Jamieson Barbara
Eglin Family Medicine Residency, Eglin Air Force Base, FL, USA.
J Fam Pract. 2010 Aug;59(8):465-6.
Standard management is best: start with unfractionated heparin or low-molecular-weight heparin and follow with long-term therapy with a vitamin K antagonist. Some evidence supports thrombolytic therapy, placement of a superior vena cava filter, or surgical thrombectomy in selected patients. Whether to remove venous catheters during initial treatment for catheter-induced venous thrombosis remains unclear, because limited studies address this issue specifically.
首先使用普通肝素或低分子量肝素，随后使用维生素K拮抗剂进行长期治疗。一些证据支持在特定患者中进行溶栓治疗、放置上腔静脉滤器或手术取栓。在导管相关性静脉血栓形成的初始治疗期间是否拔除静脉导管仍不明确，因为专门针对此问题的研究有限。
