Steckmeier B, Spengel F A, Schmölder A, Reininger C, Ozgultekin R, Waldner H
Chirurgische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.
Orthopade. 1993 Apr;22(2):128-35.
In the treatment of deep vein thrombosis (DVT), a rapid clinical diagnosis supported by the appropriate equipment, the age of the patient, and the extent of the thrombosis are the major determinants of successful therapy. Active and conservative treatment should be aimed at the prevention of pulmonary embolisms, rethrombosis and elimination of the thrombus, while preserving venous valvular function, which in turn is essential to avoid the development of post-thrombotic syndrome. The treatment of acute DVT remains controversial. For this reason the indication, treatment, and recently published results of thrombectomy, thrombolysis, and the possibilities for preventing DVT are discussed.
在深静脉血栓形成(DVT)的治疗中,由适当设备支持的快速临床诊断、患者年龄以及血栓形成的范围是成功治疗的主要决定因素。积极和保守治疗应旨在预防肺栓塞、再血栓形成并消除血栓,同时保留静脉瓣膜功能,而这对于避免血栓形成后综合征的发生至关重要。急性DVT的治疗仍存在争议。因此,本文将讨论血栓切除术、溶栓治疗的适应症、治疗方法、近期公布的结果以及预防DVT的可能性。