中国临床医学2017，Vol.24Issue(1)：60-65,6.DOI:10.12025/j.issn.1008-6358.2017.20160805
肝硬化合并静脉血栓栓塞症的临床诊治
The clinical features of venous thromboembolism in patients with cirrhosis
摘要
Abstract
Objective:To explore the clinical features and key points in treatment and diagnosis of venous thromboembolism (VTE)combined cirrhosis.Methods:Clinical data of 23 patients with venous thromboembolism combined cirrhosis were analyzed retrospectively.Results:The incidence rate of VTE combined cirrhosis was 0 .8%.Sixteen males and seven females were enrolled in this study,aged from 43 to 84 years old with an average age of (55.7±10.1)years old.The levels of blood albumin and hemoglobin of A level liver cirrhosis patients (n= 9 )were obviously higher than B level and C level liver cirrhosis patients (n= 14,P<0.05).The blood coagulation and serum creatinine in A level patients were better than B level and C level patients,and the D dimer and blood platelet was slightly lower than B level and C level patients,but no statistical significance was found between two groups.There were 73.9% patients had malignant tumor history.Eighteen patients received low molecular weight heparin for treatment.Five patients did not receive any anticoagulation therapy,and three of them died during hospitalization.Conclusions:The physicians should pay attention to the risk of the cirrhotic patients with VTE developing,and its need for early diagnosis and timely treatment.关键词
肝硬化/深静脉血栓形成/肺栓塞Key words
cirrhosis/deep venous thrombosis/pulmonary embolism分类
医药卫生引用本文复制引用
陈淑靖,朱蕾,蒋进军..肝硬化合并静脉血栓栓塞症的临床诊治[J].中国临床医学,2017,24(1):60-65,6.基金项目
上海市科委重点项目(15DZ1930602),上海市卫生局应用研究项目(20134056),上海市公共卫生三年行动计划重点学科建设项目传染病与卫生微生物学(15GWZK0102).Supported by Shanghai Municipal Science and Technology Commission (15DZ1930602),Shanghai Municipal Public Health Bureau (20134056 ),and Shanghai Three-Year Plan of the Key Subjects Construction in Public Health-Infectious Diseases and Pathogenic Microorganism (15GWZK0102). （15DZ1930602）
