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静脉血栓栓塞症与肺栓塞:预防与管理策略

Venous Thromboembolism and Pulmonary Embolism: Strategies for Prevention and Management.

作者信息

Blitzer Rachel R, Eisenstein Samuel

机构信息

Department of Surgery, UC San Diego Health System, 200 W. Arbor Drive, San Diego, CA 92103, USA.

Department of Surgery, UC San Diego Health System, 3855 Health Sciences Drive #0987, La Jolla, CA 92037, USA.

出版信息

Surg Clin North Am. 2021 Oct;101(5):925-938. doi: 10.1016/j.suc.2021.06.015. Epub 2021 Aug 7.

Abstract

Perioperative venous thromboembolism (VTE) is a common complication within the surgical patient population. Perioperative mechanical and chemoprophylaxis have been shown to reduce the incidence of both deep venous thrombosis and pulmonary embolism. Prophylactic regimen must be tailored to the patient's individual risk factors as well as the nature of the procedure. In the event of VTE, treatment most commonly includes long-term anticoagulation, whereas more severe cases may require lytic or mechanical interventions.

摘要

围手术期静脉血栓栓塞症(VTE)是外科手术患者群体中常见的并发症。围手术期的机械性预防和化学预防已被证明可降低深静脉血栓形成和肺栓塞的发生率。预防方案必须根据患者的个体风险因素以及手术的性质进行调整。发生VTE时,治疗通常包括长期抗凝,而更严重的病例可能需要溶栓或机械干预。

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