脊柱手术中的静脉血栓预防
Venous Thromboprophylaxis in Spine Surgery.
作者信息
Alvarado Anthony M, Porto Guilherme B F, Wessell Jeffrey, Buchholz Avery L, Arnold Paul M
机构信息
University of Kansas Medical Center, Kansas City, KS, USA.
Medical University of South Carolina, Charleston, SC, USA.
出版信息
Global Spine J. 2020 Jan;10(1 Suppl):65S-70S. doi: 10.1177/2192568219858307. Epub 2019 Jun 19.
Abstract
STUDY DESIGN
Review article.
OBJECTIVE
A review of the literature on postoperative initiation of thrombophylactic agents following spine surgery.
METHODS
A review of the literature and synthesis of the data to provide an update on venous thromboprophylaxis following spine surgery.
RESULTS
Postoperative regimens of venous thromboprophylaxis measures following spine surgery remain a controversial issue. Recommendations regarding mechanical versus chemical prophylaxis vary greatly among institutions.
CONCLUSION
Postoperative spine surgery initiation of thromboprophylaxis remains controversial regarding optimal timing and agent selection. The benefits of deep vein thrombosis/pulmonary embolism prophylaxis must be weighed against the possible postoperative complications associated with spine surgery.
摘要
研究设计
综述文章。
目的
对脊柱手术后开始使用血栓预防药物的文献进行综述。
方法
对文献进行综述并综合数据，以更新脊柱手术后静脉血栓预防的相关内容。
结果
脊柱手术后静脉血栓预防措施的术后方案仍是一个有争议的问题。各机构在机械预防与化学预防方面的建议差异很大。
结论
脊柱手术后开始进行血栓预防在最佳时机和药物选择方面仍存在争议。必须权衡深静脉血栓形成/肺栓塞预防的益处与脊柱手术可能的术后并发症。
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