Shaikhouni Ammar, Baum Justin, Lonser Russell R
Department of Neurological Surgery, Ohio State University Wexner Medical Center, Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
Department of Neurological Surgery, Ohio State University Wexner Medical Center, Ohio State University, 410 West 10th Avenue, Columbus, OH 43210, USA.
Neurosurg Clin N Am. 2018 Oct;29(4):567-574. doi: 10.1016/j.nec.2018.06.010.
The optimal approach for deep vein thrombosis (DVT) prophylaxis in the neurosurgery patient is a challenge of balancing the reduction in incidence of DVT and pulmonary embolus (PE) without risking an increase in catastrophic hemorrhages. In this article, the authors review the current literature on DVT/PE prophylaxis in neurosurgery. Mechanical and pharmacologic DVT prophylaxis strategies are discussed in terms of their efficacy in reducing DVT/PE rates as well as safety in terms of catastrophic hemorrhages. The authors offer recommendations regarding the best approach given the current state of the literature.
神经外科患者深静脉血栓形成（DVT）预防的最佳方法是一项挑战，即要在降低DVT和肺栓塞（PE）发生率与不增加灾难性出血风险之间取得平衡。在本文中，作者回顾了神经外科中DVT/PE预防的当前文献。从降低DVT/PE发生率的有效性以及灾难性出血方面的安全性，对机械和药物DVT预防策略进行了讨论。作者根据当前文献状况给出了最佳方法的建议。
