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静脉血栓栓塞症手术治疗与药物治疗后遗症的比较

Comparison between sequelae of surgical and medical treatment of venous thromboembolism.

作者信息

Young A E, Thomas A L, Browse N L

出版信息

Br Med J. 1974 Oct 19;4(5937):127-30. doi: 10.1136/bmj.4.5937.127.

Abstract

Thirty-six patients have been studied clinically and phlebographically three years after a major deep vein thrombosis. Twenty were treated surgically and 16 medically. The incidence of post-thrombotic symptoms was similar in the two groups. The use of superficial femoral vein ligation to prevent embolism will not worsen the prognosis of a leg which is already the site of deep vein thrombosis.

摘要

36例患者在发生严重深静脉血栓形成三年后接受了临床和静脉造影研究。其中20例接受了手术治疗,16例接受了药物治疗。两组的血栓形成后症状发生率相似。采用股浅静脉结扎术预防栓塞不会使已发生深静脉血栓形成的下肢预后恶化。

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本文引用的文献

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Late sequelae of inferior vena cava ligation.
Surg Gynecol Obstet. 1951 Aug;93(2):153-8.
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Late results of inferior vena cava ligation.
Surgery. 1955 Apr;37(4):622-8.
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PROGNOSIS IN DEEP VENOUS THROMBOSIS.深静脉血栓形成的预后
Arch Surg. 1963 Nov;87:732-42. doi: 10.1001/archsurg.1963.01310170018005.
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Venous stasis after ligation of femoral veins or inferior vena cava.
JAMA. 1961 Oct 7;178:1-7. doi: 10.1001/jama.1961.03040400003001.
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Management of thromboembolic disease.血栓栓塞性疾病的管理
N Engl J Med. 1960 Nov 17;263:983-7. doi: 10.1056/NEJM196011172632001.

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