开胸术后深静脉血栓形成
Deep vein thrombosis after thoracotomy.
作者信息
Jackaman F R, Perry B J, Siddons H
出版信息
Thorax. 1978 Dec;33(6):761-3. doi: 10.1136/thx.33.6.761.
Abstract
In a prospective study of 183 patients undergoing lateral thoracotomy the 125 I fibrinogen uptake test and perioperative heparin prophylaxis for deep-vein thrombosis were investigated. There was an incidence of deep vein thrombosis in 51% in untreated control patients. The heparin prophylaxis effectively reduced the incidence of deep venous thrombosis to 28% (P less than 0.005) without increasing postoperative blood loss. Unilateral thrombosis was found to be significantly more frequent in the leg opposite the side of the thoracotomy (P less than 0.005). The 125I fibrinogen test is essential in assessing methods of prophylaxis but is not recommended as a routine.
摘要
在一项对183例行侧开胸手术患者的前瞻性研究中，对125I纤维蛋白原摄取试验及围手术期肝素预防深静脉血栓形成进行了调查。未治疗的对照患者深静脉血栓形成的发生率为51%。肝素预防有效地将深静脉血栓形成的发生率降低至28%（P<0.005），且未增加术后失血量。发现单侧血栓形成在开胸一侧对侧的下肢明显更常见（P<0.005）。125I纤维蛋白原试验在评估预防方法时必不可少，但不建议作为常规检查。
相似文献
1
Deep vein thrombosis after thoracotomy.开胸术后深静脉血栓形成
Thorax. 1978 Dec;33(6):761-3. doi: 10.1136/thx.33.6.761.
2
Perioperative heparin prophylaxis of deep venous thrombosis in patients with peripheral vascular disease.外周血管疾病患者围手术期应用肝素预防深静脉血栓形成
Am J Surg. 1981 Dec;142(6):649-50. doi: 10.1016/0002-9610(81)90303-2.
3
Prevention of venous thrombosis with small, subcutaneous doses of heparin.
JAMA. 1976 May 3;235(18):1980-2.
4
Effect of low-dose heparin on incidence of postoperative thrombosis in orthopaedic patients.低剂量肝素对骨科患者术后血栓形成发生率的影响。
Arch Chir Neerl. 1975;27(1):63-8.
5
The prevention of postoperative deep vein thrombosis and pulmonary embolism with low dose subcutaneous heparin and dextran.低剂量皮下注射肝素和右旋糖酐预防术后深静脉血栓形成和肺栓塞
Surg Gynecol Obstet. 1976 Dec;143(6):981-5.
6
[The case for more active prevention of deep-vein thrombosis after major surgery (author's transl)].关于更积极预防大手术后深静脉血栓形成的理由（作者译）
Acta Chir Belg. 1976 Jul;75(4):402-15.
7
Prevention of postoperative deep-vein thrombosis by low-dose heparin in urological surgery. A double-blind, randomised study.低剂量肝素预防泌尿外科手术术后深静脉血栓形成。一项双盲随机研究。
Urol Res. 1977;5(3):123-5. doi: 10.1007/BF00256865.
8
[Dextran 40 in the prophylaxis of deep vein thrombosis in surgery (author's transl)].右旋糖酐40在外科手术中预防深静脉血栓形成（作者译）
Dtsch Med Wochenschr. 1976 Dec 10;101(50):1834-7. doi: 10.1055/s-0028-1104348.
9
Prevention of postoperative leg vein thrombosis by electrical muscle stimulation. An evaluation with 125I-labelled fibrinogen.通过电肌肉刺激预防术后腿部静脉血栓形成。用125I标记纤维蛋白原进行评估。
Br Med J. 1970 Sep 12;3(5723):615-8. doi: 10.1136/bmj.3.5723.615.
10
Prophylaxis of postoperative venous thrombosis in a controlled trial comparing dextran 70 and low-dose heparin.
World J Surg. 1980;4(2):239-43. doi: 10.1007/BF02393589.
引用本文的文献
1
Primary prophylaxis for venous thromboembolism in patients undergoing cardiac or thoracic surgery.心脏或胸外科手术患者静脉血栓栓塞的一级预防
Cochrane Database Syst Rev. 2015 Jun 19;2015(6):CD009658. doi: 10.1002/14651858.CD009658.pub2.
2
Prevention of venous thromboembolism in general surgical patients. Results of meta-analysis.普通外科患者静脉血栓栓塞的预防。荟萃分析结果。
Ann Surg. 1988 Aug;208(2):227-40. doi: 10.1097/00000658-198808000-00016.
本文引用的文献
1
The diagnosis of deep-vein thrombosis in the leg using 125-I-Fibrinogen.使用125-I-纤维蛋白原诊断腿部深静脉血栓形成。
Br J Surg. 1968 Nov;55(11):825-30. doi: 10.1002/bjs.1800551106.
2
The detection of venous thrombosis of the legs using 125-I-labelled fibrinogen.使用125-I标记的纤维蛋白原检测腿部静脉血栓形成。
Br J Surg. 1968 Oct;55(10):742-7. doi: 10.1002/bjs.1800551007.
3
Prevention of postoperative leg vein thrombosis by electrical muscle stimulation. An evaluation with 125I-labelled fibrinogen.通过电肌肉刺激预防术后腿部静脉血栓形成。用125I标记纤维蛋白原进行评估。
Br Med J. 1970 Sep 12;3(5723):615-8. doi: 10.1136/bmj.3.5723.615.
4
Diagnosis of established deep vein thrombosis with the 125 I fibrinogen uptake test.用¹²⁵I纤维蛋白原摄取试验诊断已确诊的深静脉血栓形成
Br Med J. 1971 Nov 6;4(5783):325-8. doi: 10.1136/bmj.4.5783.325.
5
Prevention of deep vein thrombosis by intermittent pneumatic compression of calf.通过间歇性小腿气压治疗预防深静脉血栓形成
Br Med J. 1972 Jan 15;1(5793):131-5. doi: 10.1136/bmj.1.5793.131.
6
Small subcutaneous doses of heparin in prevention of venous thrombosis.小剂量皮下注射肝素预防静脉血栓形成。
N Engl J Med. 1973 Mar 15;288(11):545-51. doi: 10.1056/NEJM197303152881103.
7
Natural history of postoperative deep-vein thrombosis.术后深静脉血栓形成的自然病史。
Lancet. 1969 Aug 2;2(7614):230-2. doi: 10.1016/s0140-6736(69)90002-6.
8
Small doses of subcutaneous sodium heparin in preventing deep venous thrombosis after major surgery.小剂量皮下注射肝素预防大手术后深静脉血栓形成
Lancet. 1972 Oct 28;2(7783):890-3. doi: 10.1016/s0140-6736(72)92531-7.
9
Efficacy of low doses of heparin in prevention of deep-vein thrombosis after major surgery. A double-blind, randomised trial.小剂量肝素预防大手术后深静脉血栓形成的疗效。一项双盲随机试验。
Lancet. 1972 Jul 15;2(7768):101-6. doi: 10.1016/s0140-6736(72)91595-4.
10
Controlled trial of two regimens of subcutaneous heparin in prevention of postoperative deep-vein thrombosis.
Lancet. 1972 May 27;1(7761):1133-5.
Zotero 插件