Sun M L, Feng Y P, Huang J, Wang Y
Department of Respiration, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing 100038, China.
Zhonghua Nei Ke Za Zhi. 2017 Dec 1;56(12):914-918. doi: 10.3760/cma.j.issn.0578-1426.2017.12.005.
To increase the consciousness of incident deep venous thrombosis (DVT) in hospitalized patients. This is a retrospective study of hospitalized patients with DVT in Beijing Shijitan Hospital from 2007 to 2016. Clinical features of DVT patients who were admitted with no DVT were summarized. The demographic and epidemiological characteristics, involved site of veins, department of patients and risk factors were discussed. A total of 5 063 patients were complicated with DVT from 305 922 inpatients who were without DVT at the admission during past 10 years. Among them, 54.36% (2 752/5 063) were men. The age of the patients was (74.1±15.9) years old (range 1-103 years) with 37.78% of them in 80 to 89 age group. The incidence of DVT in the hospital was 1.65%. It increased yearly during the past decade (from 0.50% to 2.74%), and increased with age in patients from 1 to 99 years old (7.32% in 90-99 age group). Totally, 5 204 veins were involved in the patients. Most thrombosis involved inferior vena cava system (96.54%,5 024/5 204), especially deep veins of lower extremity (83.78%,4 360/5 204), some involved portal veins (8.61%,448/5 204) and a little was found in superior venae cava (3.46%, 180/5 204). More DVT patients were in department of internal medicine than those in department of surgery (2.95% vs 0.97%, 0.01). ICU had the highest rate of DVT among the hospital departments (9.75%). No DVT occurred in department of newborn. Risk factors of DVT were inflammatory diseases (71.54%), age over 75 years old (67.25%), and heart diseases (58.98%). Sensitivity of detection on DVT should be emphasized in hospitalized patients with DVT risk, especially at the department with high incident of DVT.
提高住院患者对深静脉血栓形成(DVT)的认识。这是一项对2007年至2016年北京世纪坛医院住院DVT患者的回顾性研究。总结了入院时无DVT的DVT患者的临床特征。讨论了人口统计学和流行病学特征、静脉受累部位、患者科室及危险因素。在过去10年中,305922例入院时无DVT的住院患者中,共有5063例发生了DVT。其中,男性占54.36%(2752/5063)。患者年龄为(74.1±15.9)岁(范围1至103岁),80至89岁年龄组占37.78%。医院内DVT的发生率为1.65%。在过去十年中逐年上升(从0.50%升至2.74%),且在1至99岁患者中随年龄增长而升高(90至99岁年龄组为7.32%)。患者共累及5204条静脉。大多数血栓累及下腔静脉系统(96.54%,5024/5204),尤其是下肢深静脉(83.78%,4360/5204),部分累及门静脉(8.61%,448/5204),上腔静脉较少见(3.46%,180/5204)。内科的DVT患者比外科多(2.95%对0.97%,P<0.01)。重症监护病房(ICU)是医院各科室中DVT发生率最高的(9.75%)。新生儿科未发生DVT。DVT的危险因素为炎症性疾病(71.54%)、75岁以上(67.25%)和心脏病(58.98%)。对于有DVT风险的住院患者,尤其是在DVT发生率高的科室,应强调DVT检测的敏感性。