导管相关血栓形成：一种实用方法。
Catheter-related thrombosis: A practical approach.
作者信息
Wall Caroline, Moore John, Thachil Jecko
机构信息
Department of Haematology, Manchester Royal Infirmary, Manchester, UK.
Department of Critical Care, Manchester Royal Infirmary, Manchester, UK.
出版信息
J Intensive Care Soc. 2016 May;17(2):160-167. doi: 10.1177/1751143715618683. Epub 2015 Dec 3.
Abstract
Catheter-related thrombosis is a relatively common complication of central venous catheter insertion. Central venous catheter use is ubiquitous in the critical care setting and often in patients with multiple risk factors for venous thromboembolism. With a trend towards increased use of peripherally inserted central catheters, the incidence of catheter-related thrombosis is likely to increase further. Despite the scale of the problem, there is a paucity of evidence-based guidelines concerning the management of patients with catheter-related thrombosis, particularly in critically unwell patients. This has led to heterogeneity in clinical practice. In this review, we describe the risk factors for developing catheter-related thrombosis and provide practical advice for clinicians on how to recognise, diagnose and treat this common problem.
摘要
导管相关血栓形成是中心静脉导管插入术相对常见的并发症。在重症监护环境中，中心静脉导管的使用非常普遍，而且常常用于有静脉血栓栓塞多种危险因素的患者。随着外周静脉置入中心静脉导管使用增加的趋势，导管相关血栓形成的发生率可能会进一步上升。尽管问题规模较大，但关于导管相关血栓形成患者管理的循证指南却很匮乏，尤其是在病情严重的患者中。这导致了临床实践的异质性。在本综述中，我们描述了发生导管相关血栓形成的危险因素，并就临床医生如何识别、诊断和治疗这一常见问题提供实用建议。
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