肺癌根治术后患者并发下肢深静脉血栓形成因素探析与`对策.docVIP

肺癌根治术后患者并发下肢深静脉血栓形成的因素分析及对策 　　【摘要】 目的：探讨肺癌根治术后患者并发下肢深静脉血栓形成的因素分析及对策。方法：选取2010年1月-2015年12月笔者所在医院收治的22例行发生下肢深静脉血栓患者，回顾性分析肺癌根治术后并发下肢深静脉血栓形成因素，并总结治疗方法。结果：22例肺癌根治术患者静脉血出现高凝状态，血小板含量超过300×109/L，生理检测血红蛋白超过160 g/L，且所有患者血脂高于正常。通过溶栓等治疗后，22例患者均康复。仅2例患者出现肺部血栓，1例患者出现左下肢周围深静脉血栓，之后进行手术植入永久性滤器康复，下肢深静脉血栓形成的危险因素有吸烟、手术时间、长期卧床运动量少、肥胖、术后饮食、情绪等。结论：造成肺癌根治术后患者并发下肢深静脉血栓的因素有很多，对这些因素采取相应的应对措施，能够大幅度减少血栓的形成率，减少患者的痛苦 【关键词】 肺癌； 下肢深静脉； 血栓； 因素分析 中图分类号 R734.2 文献标识码 B 文章编号 1674-6805（2016）22-0107-02 【Abstract】 Objective：To investigate the factors and countermeasures of deep vein thrombosis in patients with lung cancer after radical operation.Method：22 cases of lower extremity deep venous thrombosis were selected in our hospital from January 2010 to December 2015，the factors of deep venous thrombosis in patients with lung cancer after radical operation were analyzed，and the treatment methods were summarized.Result：22 lung cancer patients with radical venous blood of high coagulation state，platelet content was more than 300×109/L，biological detection of hemoglobin at more than 160 g/L，and all of the patients blood fat were higher than normal.By thrombolysis，22 patients were recovered after treatment.Only 2 patients with pulmonary embolism，1 patient appeared around the left lower extremity deep vein thrombosis，after implantation surgery permanent filter recovery，lower extremity deep vein thrombosis risk factors were smoking，operation time，bedridden less exercise，obesity and diet，emotions，et al.Conclusion：There are many factors that cause deep vein thrombosis in patients with lung cancer after radical operation，and take appropriate measures to deal with these factors，can significantly reduce the rate of thrombosis，reduce the pain of patients. 【Key words】 Lung cancer； Lower extremity deep vein； Blood clots； Factor analysis First-author’s address：Huaian First People’s Hospital，Huaian 223300，China doi：10.14033/j.cnki.cfmr.2016.22.056 肺癌发生于支气管黏膜细胞，所以也叫做支气管肺癌[1]。通常肺癌主要是指肺实质的肿瘤，排除来源于其他脏器以及淋巴瘤