Lippi Giuseppe, Mattiuzzi Camilla, Favaloro Emmanuel J
Section of Clinical Biochemistry, University of Verona, Verona, Italy.
Service of Clinical Governance, Provincial Agency for Social and Sanitary Services, Trento, Italy.
Ann Transl Med. 2018 Sep;6(17):344. doi: 10.21037/atm.2018.09.03.
The large availability of computers (personal, laptop and tablet) has revolutionized human life more than any other discovery or invention over the past century. Nevertheless, prolonged use of computers may both directly and indirectly promote the onset of some serious human pathologies, thus including venous thromboembolism (VTE). Convincing epidemiological and biological evidence has been published that computer-related thrombosis (also known as "e-thrombosis") should now be regarded as an independent clinical entity, deserving enhanced healthcare focus and interventions, due to the growing worldwide diffusion of computer devices, which may ultimately contribute to enhance the risk of computer-related thrombosis, and turn it from a relatively rare disease to a noticeably frequent pathology. A set of preventive measures can thus be suggested, such as designing and setting up ergonomically suitable computer workstations, using comfortable sitting positions, avoiding long and uninterrupted computer-seated immobility, and avoiding the wearing of restrictive clothing on the legs. Reinforced measures should then be advised in patients with acquired, or inherited prothrombotic conditions, in whom the risk of computer-related thrombosis may be substantially magnified.
在过去的一个世纪里，计算机（个人电脑、笔记本电脑和平板电脑）的广泛普及给人类生活带来了前所未有的变革，其影响力超过了其他任何一项发现或发明。然而，长时间使用计算机可能会直接或间接地引发一些严重的人类疾病，其中包括静脉血栓栓塞症（VTE）。已有确凿的流行病学和生物学证据表明，鉴于计算机设备在全球范围内的日益普及，这可能最终导致与计算机相关的血栓形成风险增加，并使其从一种相对罕见的疾病转变为一种较为常见的病理状况，因此，与计算机相关的血栓形成（也称为“电子血栓形成”）现在应被视为一种独立的临床实体，值得加强医疗关注和干预。因此，可以提出一系列预防措施，例如设计和设置符合人体工程学的计算机工作站、采用舒适的坐姿、避免长时间不间断地坐着使用计算机以及避免穿着腿部紧身衣物。对于患有获得性或遗传性血栓形成倾向疾病的患者，应建议采取强化措施，因为这些患者发生与计算机相关的血栓形成的风险可能会大幅增加。
