临床神经外科杂志2013，Vol.10Issue(4)：229-231,3.DOI:10.3969/j.issn.1672-7770.2013.04.015
神经外科术后静脉栓塞症发病率及早期诊断
Prevalence and eraly diagnosis of postoperative venous thromboembolism in neurosurgical patients
汪璟 1鲁晓杰 1苗增利 1陈开来1
作者信息
- 1. 214002 南京医科大学附属无锡第二医院神经外科
- 折叠
摘要
Abstract
Objective To study the prevalence of venous thromboembolism (VTE) in neurosurgical patients.Method 37 patients were screened by ultrasonography for deep vein thrombosis(DVT) in the lower extremities at an average of 12 days postoperatively.All patients received standard thromboprophylaxis using graded compression stocking with/without intermittent pneumatic compression following the VTE prevention guidelines.Definitive diagnosis of venous thromboembolism was made by contrast-enhanced whole-body computed tomography.Results Prevalence of deep vein thrombosis of the lower legs was 13.5％.Incidence of pulmonary embolism was 60％ in patients having deep vein thrombosis.All patients having venous thromboembolism were asymptomatic.Conclusions This study showed the prevalence of asymptomatic VTE in the highrisk patients was as high as 20％.Moreover,silent PE occurred in these patients even though they received standard thromboprophylaxis using CS and IPC.The best treatment for VTE is prevention and pharmacological prophylaxis should be considered for patients with high risk of VTE.关键词
静脉栓塞/肺栓塞/神经外科/脑肿瘤Key words
venous thromboembolism/pulmonary embolism/neurosurgery/brain tumor分类
医药卫生引用本文复制引用
汪璟,鲁晓杰,苗增利,陈开来..神经外科术后静脉栓塞症发病率及早期诊断[J].临床神经外科杂志,2013,10(4):229-231,3.
