Auburn University, Harrison School of Pharmacy, Huntsville, AL. Email:
Am J Manag Care. 2017 Dec;23(20 Suppl):S376-S382.
Venous thromboembolism (VTE) describes the diagnoses of deep vein thrombosis (DVT) or pulmonary embolism (PE). DVT is the formation of thrombi in the deep veins, most commonly the large veins of the legs or pelvis. PE develops when thrombi dislodge from clots in vein walls and travel through the heart to pulmonary arteries. In many patients, the presenting manifestation of PE is sudden death. VTE may be categorized as provoked or unprovoked. This categorization influences the risk of recurrent VTE and duration of anticoagulation therapy. It is important for primary care providers to clearly understand the pathogenesis and causes of thrombosis in order to create evidence-based therapeutic and prophylactic patient care plans that adequately prevent recurrent VTE.
静脉血栓栓塞症(VTE)描述了深静脉血栓形成(DVT)或肺栓塞(PE)的诊断。DVT 是深静脉中血栓的形成,最常见于腿部或骨盆的大静脉。PE 发生于血栓从血管壁的血栓中脱落并通过心脏进入肺动脉时。在许多患者中,PE 的表现为突然死亡。VTE 可分为诱因性和非诱因性。这种分类会影响复发性 VTE 的风险和抗凝治疗的持续时间。初级保健提供者清楚了解血栓形成的发病机制和原因对于制定基于证据的治疗和预防患者护理计划以充分预防复发性 VTE 非常重要。