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静脉血栓栓塞症的处理进展。

Update on the management of venous thromboembolism.

机构信息

Section Head, Department of Vascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

Cleve Clin J Med. 2017 Dec;84(12 Suppl 3):39-46. doi: 10.3949/ccjm.84.s3.04.

Abstract

Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism, is a common cardiovascular disease associated with significant morbidity ranging from painful leg swelling, chest pain, shortness of breath, and even death. Long-term complications include recurrent VTE, postpulmonary embolism syndrome, chronic thromboembolic pulmonary hypertension, and postthrombotic syndrome (PTS). Management of VTE requires immediate anticoagulation therapy based on a risk assessment for bleeding. Direct oral anticoagulants (DOACs) have become an important option for patients as reflected in the most recent American College of Chest Physician treatment guidelines.

摘要

静脉血栓栓塞症(VTE)包括深静脉血栓形成(DVT)和肺栓塞,是一种常见的心血管疾病,可导致严重的发病率,包括腿部疼痛肿胀、胸痛、呼吸急促,甚至死亡。长期并发症包括复发性 VTE、肺栓塞后综合征、慢性血栓栓塞性肺动脉高压和血栓后综合征(PTS)。VTE 的管理需要根据出血风险评估进行立即抗凝治疗。直接口服抗凝剂(DOACs)已成为患者的重要选择,这反映在最近的美国胸科医师学会治疗指南中。

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