Division of Critical Care Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USA.
Crit Care Clin. 2010 Oct;26(4):637-40. doi: 10.1016/j.ccc.2010.06.011.
Venous thromboembolic disease continues to be a major source of morbidity and mortality, with obese patients who are critically ill presenting some of the most at-risk patients. As the literature evolves, it has become clear that there is a complex relationship between obesity and thrombosis and atherogenesis. It is true that many of these conditions are reversible with weight loss; however, obesity remains on the rise. Management of obese patients must incorporate and consider these intricate changes in an attempt to improve patient outcomes.
静脉血栓栓塞性疾病仍然是发病率和死亡率的主要原因,危重病肥胖患者是风险最高的患者之一。随着文献的发展,肥胖与血栓形成和动脉粥样硬化形成之间的复杂关系已经变得很清楚。诚然,许多这些情况随着体重减轻是可逆的;然而,肥胖仍然在增加。肥胖患者的管理必须结合并考虑这些复杂的变化,以试图改善患者的结局。