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炎症性肠病患者的静脉血栓栓塞症:文献回顾与实用算法。

Venous thromboembolism in patients with inflammatory bowel disease: review of literature and practical algorithms.

机构信息

Ghent University and AZ Sint-Lucas, Ghent, Belgium.

Department of Hepatology and Gastroenterology, AZ Sint-Lucas, Ghent, Belgium.

出版信息

Acta Gastroenterol Belg. 2021 Jan-Mar;84(1):79-85. doi: 10.51821/84.1.910.

Abstract

Inflammatory bowel disease (IBD) is associated with several extra-intestinal complications, including venous thromboembolism (VTE). In patients with IBD, VTE occurs at younger age and is associated with higher recurrence and mortality rates as compared to patients without IBD. The risk appears to be higher during active disease and hospitalization. In this review we target the importance of prophylaxis and aim to describe strategies for treatment of VTE in patients with IBD. More awareness is needed, given the fact that VTE is often preventable with appropriate pharmacological prophylaxis. Algorithms are provided on which patients should be given prophylaxis and on treatment duration of VTE in patients with inflammatory bowel disease.

摘要

炎症性肠病(IBD)与多种肠外并发症相关,包括静脉血栓栓塞症(VTE)。与无 IBD 患者相比,IBD 患者的 VTE 发病年龄更早,且复发率和死亡率更高。这种风险在疾病活动期和住院期间似乎更高。在本篇综述中,我们旨在强调预防的重要性,并描述 IBD 患者 VTE 的治疗策略。鉴于 VTE 通常可以通过适当的药物预防来预防,因此需要提高认识。本文提供了针对炎症性肠病患者应给予预防治疗的患者的算法,以及 VTE 的治疗持续时间。

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