心血管二区-认静脉血栓栓塞症.docVIP

认识静脉血栓栓塞症 什么是静脉血栓栓塞症（VTE）肺栓塞（PE）深静脉血栓形成（DVT）静脉血栓栓塞症（VTE）50%的近端和远端深静脉血栓形成（DVT）肺栓塞（PE）%的肺栓塞（PE）DVT）静脉血栓栓塞症（VTE） 常见发病的诱因 制动--长时间的站立或坐姿不动，如坐长途汽车、飞机、长时间打麻将等。 各种手术后卧床的患者，或者其他原因，如瘫痪或病重长期卧床少活动的患者。 妊娠、肿瘤、长期服用避孕剂、凝血因子异常等。 骨科大手术如全髋关节置换术、全膝关节置换术等。 肺动脉栓塞→ 不同部位静脉血栓形成有不同的表现 肢体浅静脉血栓形成一般无全身症状，沿静脉走行方向可摸到一条状物，伴有压痛、周围皮肤呈现红斑，小腿深静脉血栓形成常发生于手术后卧床的患者，常见症状有小腿肚疼痛、肿胀、压痛和牵拉痛，伴踝关节下水肿和静脉曲张。髂、股静脉血栓形成绝大多数继发于小腿静脉血栓形成，但可原发于髂股静脉或髂静脉。产后妇女、骨盆骨折、盆腔手术和晚期癌肿病人易发生。本病发病急，几个小时内整个患肢出现疼痛、压痛及明显肿胀。股内侧及同侧下腹壁静脉曲张。股静脉部位压痛，可扪到静脉血栓栓塞症（VTE） 单侧肢体浮肿，产生肢体肿痛、乏力，重者产生肢段循环障碍导致组织溃疡和坏死。 如果血栓脱落，栓子会随血液回流心脏阻塞肺动脉，导致肺栓塞（PE）肺栓塞静脉血栓栓塞症（VTE）肺动脉造影 静脉血栓栓塞（VTE）rt-PA(重组组织型纤溶酶原激活剂) 介入治疗 经导管肺动脉血栓去除术、腔静脉滤器植入术 外科手术取栓 物理治疗：弹力袜以及感应抗血栓泵等防治血栓病 弹力袜治疗DVT 总结 静脉血栓栓塞症包括深静脉血栓形成（DVT）肺栓塞（PE） coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after