Hammond F M, Meighen M J
Charlotte Institute of Rehabilitation, Charlotte, North Carolina, USA.
J Head Trauma Rehabil. 1998 Feb;13(1):36-50. doi: 10.1097/00001199-199802000-00007.
Venous thromboembolism is a life-threatening complication of traumatic brain injury. Consequently, knowledge of available screening, diagnostic, prophylactic, and treatment methods is critical to the management of the individual with traumatic brain injury. Venous thromboembolic risk varies among individuals, resulting in unique screening and prophylactic needs for each patient. In addition, anticoagulation, commonly employed for prophylaxis and treatment in other patient populations, may create an increased risk for intracranial hemorrhage when utilized following traumatic brain injury. The cost, sensitivity, specificity, efficacy, potential side effects, and alternatives for preventing, detecting, and treating venous thromboembolism are important considerations discussed in this article.
静脉血栓栓塞是创伤性脑损伤的一种危及生命的并发症。因此，了解可用的筛查、诊断、预防和治疗方法对于创伤性脑损伤患者的管理至关重要。静脉血栓栓塞风险在个体之间存在差异，导致每个患者有独特的筛查和预防需求。此外，在其他患者群体中常用于预防和治疗的抗凝治疗，在创伤性脑损伤后使用时可能会增加颅内出血的风险。本文讨论了预防、检测和治疗静脉血栓栓塞的成本、敏感性、特异性、疗效、潜在副作用以及替代方法等重要因素。
