神经外科术后下肢深静脉血栓形成临床分析  

Clinical analysis on postoperative lower fimbs deep venous thrombosis in patients with neurosurgical operation

作　　者：任天剑[1] 李明昌[1] 麦晓[2] 黄文辉[1] 朱世强[1] 王进钢[1] 陆永建[1] 朱建堃[1] 

机构地区：[1]广州医学院第二附属医院神经外科,广州510260 [2]广东省吴川市人民医院神经外科,524500

出　　处：《中华神经医学杂志》2006年第7期744-746,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨分析神经外科术后合并下肢深静脉血栓(DVT)形成的危险因素,有效防治措施及预后。方法回顾分析32例神经外科术后并发下肢DVT病例的临床资料。结果合并基础病、手术、术后脱水治疗、术后偏瘫及长期卧床、下肢长期深静脉置管等是神经外科术后并发下肢DVT的危险因素。经抗凝、抗血小板凝集和扩血管等内科综合治疗,临床治愈30例,好转1例,死亡1例。结论神经外科术后存在并发DVT的诸多危险因素,早期预防、及时有效的诊断治疗可改善预后,提高生存质量。Objective To investigate the risk factors, effective management and prognosis of postoperative deep venous thrombosis （DVT） in patients with neurosurgical operation. Methods Clinical data of 32 cases of postoperative DVT were analyzed in patients with neurosurgical operation retrospectively. Results Chronic diseases, aging, surgical operations, postoperative dehydration therapy, postoperative hemiplegia and long-term lying in bed, intravenous cannula were risk factors of postoperative DVT in patients with neurosurgical operation. All patients were given treatments combined with anticoagulants, anti-platelet aggregation and vasodilatation therapy. Of all cases, 30 cases were cured, 1 case was improved and 1 case died. Conclusion Many risk factors are responsible for postoperative DVT in patients with neurosurgical operation. Early prophylaxis, early diagnosis and treatment will improve prognosis and enhance the survival quality.

关 键 词：术后 下肢深静脉血栓形成 临床分析 

分 类 号：R651[医药卫生—外科学] R654.3[医药卫生—临床医学]