妇科围手术期下肢深静脉血栓形成探究.docVIP

妇科围手术期下肢深静脉血栓形成探究【摘要】目的探讨妇科围手术期下肢深静脉血栓形成的预防、诊断和治疗。方法随机选择2008年8月~2010年3月在招远市人民医院住院手术治疗的患者60例，分成两组。实验组患者术前给予补液、穿弹力袜或应用弹力绷带、近期未应用激素类药物，术后不用止血药且术后24 h应用小剂量肝素3~5 d对照组无任何限制条件，按照常规手术，术后应用止血药且术后24 h不加用小剂量肝素。结果实验组术后无1例发生血栓形成，对照组发生4例，两组差异有显著性（P＜0?05）,4例患者均通过保守治疗治愈。结论下肢深静脉血栓形成可以通过上述措施得到预防，形成后可以早期诊断和治疗。【关键词】下肢深静脉血栓形成补液弹力袜或弹力绷带肝素预防 Clinical study of deep vein thrombosis (DVT) in lower extremity during peri-operation period of gynecologic surgeryTENG Shao-ran,FANG Mei-xia. The People?s Hospital of Zhaoyuan,Zhaoyuan 265400, China【Abstract】ObjectiveTo investigate the prevention, diagnosis and treatment of DVT in lower extremity during peri-operation period of gynecologic surgery.MethodsFrom Aug.2008 to Mar.2010, sixty-two inpatients in People?s Hospital of Zhaoyuan were selected randomly and divided into treatment group and control group. Before the operation, the treatment group were treated with fluid replacement, anti-embolism stocking or elastic bandages and not given hormone kind medicaments; after the opration, they were not given hemostatic drugs but small dose heparin within 24 hours after surgery for 3-5 days. The control group underwent routine treatment for the operation, they were treated with hemostatic drugs instead of small dose heparin within 24 hours after surgery.ResultsThe incidence of DVT in treatment group was nil; But in the control group，4 cases had DVT, who recovered later with conservative treatment. There was significant difference (P0?05) between treatment group and control group.ConclusionThe DVT can be prevented by the above mentioned measures, and when it occurs, diagnosis and treatment can be made in the early stage.【Key words】Deep Vein Thrombosis (DVT) in Lower extremity;Fluid replacement;Elastic stocking or bandages;Heparin;Prevention下肢深静脉血栓形成(Deep Vein Thrombosis in lower limb，LDVT)是妇产科常见的一种并发症。由于其急性期可引起致命性的肺栓塞，慢性期常遗留致残性的静脉血栓后遗症而严重威胁着人类的生命健康。学术界提出：下肢深静脉血栓形成与肺栓塞(Pulmonary embolism,PE)是一个疾病的两个不同阶段［1］。由于LDVT在早期可并发肺栓塞致死，在晚期则大多数遗留以肢体功能障碍为主的血栓形成后综合征和血