Al-Nasser Bassam
Department of Anaesthesia and Intensive Care, Clinique Du Parc Saint Lazare, Beauvais, France.
Turk J Anaesthesiol Reanim. 2020 Feb;48(1):11-16. doi: 10.5152/TJAR.2019.08683. Epub 2019 Nov 11.
Venous thromboembolism (VTE) is generally considered a process very different from arterial atherosclerosis. The role of tobacco is well known in arterial thrombosis. However, its role in VTE is less obvious and remains controversial. In this mini review, we analysed the literature to identify the role of active or passive smoking in perioperative VTE and the relationship between arterial atherosclerosis and VTE. We carried an Internet search in French and English including the following keywords: deep vein thrombosis, tobacco, cigarette smoking, pulmonary embolism, postoperative, postoperative, atherosclerosis. Regarding the relationship between tobacco and VTE, a total of 9 studies were identified. Studies were ranked by the risk of VTE in relation to active or passive smoking. In conclusion, the management of smoking during the perioperative period for a short-term arrest (minimum 4-8 weeks before the intervention), or long term, allows among others a reduction of arterial or venous thrombotic events. However, it is clear that the training of anaesthesiologists in the management of smoking will contribute to the reduction of this public health problem.
静脉血栓栓塞症（VTE）通常被认为是一个与动脉粥样硬化截然不同的过程。烟草在动脉血栓形成中的作用是众所周知的。然而，其在VTE中的作用尚不明显，仍存在争议。在本综述中，我们分析了相关文献，以确定主动或被动吸烟在围手术期VTE中的作用以及动脉粥样硬化与VTE之间的关系。我们在互联网上进行了法语和英语搜索，关键词包括：深静脉血栓形成、烟草、吸烟、肺栓塞、术后、动脉粥样硬化。关于烟草与VTE之间的关系，共确定了9项研究。根据主动或被动吸烟相关的VTE风险对研究进行了排名。总之，在围手术期短期（干预前至少4 - 8周）或长期戒烟，除其他外，可减少动脉或静脉血栓形成事件。然而，显然麻醉医生在吸烟管理方面的培训将有助于减少这一公共卫生问题。
