中国实用外科杂志2017，Vol.37Issue(12)：1354-1358,5.DOI:10.19538/j.cjps.issn1005-2208.2017.12.10
下肢深静脉血栓治疗现状与趋势
Current situation and trend of treatment of deep vein thrombosis
摘要
Abstract
Deep vein thrombosis (DVT),which can complicate with pulmonary embolism (PE) and develop into postthrombotic syndrome (PTS),is a troublesome problem in clinic.Thus,the treatment of DVT mainly includes two aspects:(1)protection from symptomatic PE and sprawled thrombus;(2)protection from PTS.Sufficient and effective anticoagulation is the fundamental treatment for acute DVT.New oral anticoagulation drugs facilitate the treatment of anticoagulation by avoiding monitor of coagulation function.But in some patients with contraindications for anticoagulation,inferior vena cava filter is necessary for preventing fatal PE.Retrieval filter with a wide duration of withdrawal is attractive in clinic.Removing thrombi by embolectomy,catheter-directed thrombolysis and pharmacomechanical thrombolysis can facilitate to restore the blood flow.But the methods of removal thrombi tend to invasive and efficient.Patients with DVT are always complicated with iliac vein compression.Stenting to solve the obstructive iliac vein is necessary when thrombi are removed.Long-term anticoagulation for prevention of recurrent DVT is necessary for protecting from PTS.Compression including stocking compression and intermittent pneumatic compression contributes to reducing the symptoms of DVT.关键词
深静脉血栓形成/肺动脉栓塞/血栓后综合征/抗凝治疗/下腔静脉滤器/血栓清除术Key words
deep vein thrombosis/pulmonary embolism/postthrombotic syndrome/anticoagulation/inferior vena cava filter/thrombectomy分类
医药卫生引用本文复制引用
李文东,李晓强,肖伦..下肢深静脉血栓治疗现状与趋势[J].中国实用外科杂志,2017,37(12):1354-1358,5.基金项目
国家自然基金项目(No.81770483) （No.81770483）
江苏省科技项目临床医学科技专项(No.BL2014043) （No.BL2014043）
苏州市卫计委市临床重点病种诊疗技术专项(No.LCZX201504) （No.LCZX201504）
