深静脉血栓形成的门诊管理。
Outpatient management of deep vein thrombosis.
作者信息
O'Shaughnessy D F, Tovey C, Miller A L, O'Neill V, Rana P S, Akbar S, Thomas M H
机构信息
Department of Haematology, St Peter's Hospital NHS Trust, Chertsey, Surrey.
出版信息
J Accid Emerg Med. 1998 Sep;15(5):292-3. doi: 10.1136/emj.15.5.292.
OBJECTIVE
To assess whether patients with deep vein thrombosis (DVT) could be satisfactorily treated on an outpatient basis with low molecular weight (LMW) heparin and warfarin.
DESIGN
A 22 month prospective study of adults attending St Peter's Hospital accident and emergency department with DVT.
RESULTS
1093 patients were referred and assessed; 160 were venogram positive, of which 159 patients between the ages of 22 and 89 years of age have now been treated with LMW heparin as outpatients. Direct liaison with community nurses has minimised the impact on general practitioner workload.
CONCLUSIONS
1272 bed days were saved during this period (an estimated 320,000 pounds). The outpatient treatment of thromboembolism has been shown to be effective and safe.
目的
评估深静脉血栓形成（DVT）患者采用低分子量（LMW）肝素和华法林进行门诊治疗是否能取得满意效果。
设计
对圣彼得医院急诊科收治的成年DVT患者进行为期22个月的前瞻性研究。
结果
共转诊并评估了1093例患者；160例静脉造影呈阳性，其中159例年龄在22至89岁之间的患者现已作为门诊患者接受LMW肝素治疗。与社区护士的直接联系将对全科医生工作量的影响降至最低。
结论
在此期间节省了1272个床日（估计320,000英镑）。血栓栓塞的门诊治疗已被证明是有效且安全的。
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