腹部恶性肿瘤术后下肢深静脉血栓形成的治疗  

Prevention and treatment of deep venous thrombosis after operation in 32 patients of abdominal malignant tumor

作　　者：张喜成[1] 田鹏[1] 陈一尘[1] 

机构地区：[1]江苏省徐州医学院附属淮安市第二医院血管外科,223002

出　　处：《腹部外科》2007年第4期215-216,共2页Journal of Abdominal Surgery

摘　　要：目的探讨腹部恶性肿瘤术后下肢深静脉血栓形成(DVT)的原因及其治疗。方法回顾性分析我院2001年5月～2007年4月收治的腹部恶性肿瘤术后发生下肢DVT的32例的临床资料。本组采用抗凝、溶栓治疗者28例,采用深静脉腔内置管接触性溶栓者4例。结果全组病例治疗后症状均有不同程度的改善。结论腹部恶性肿瘤病人是术后DVT的高危人群,围手术期的积极预防至关重要,早发现、早治疗可取得较好疗效。Objective To discuss the causes,prevention and treatment of postoperative deep venous thrombosis（DVT）in patients with abdominal malignant tumors. Methods The clinical data of 32 cases of abdominal malignant tumor with postoperative DVT were retrospectively analyzed. Twentyeight cases were treated with anticoagulation and thrombolytic therapy, and 4 cases received deep venous catheter-guided thrombolytic. Results The symptoms of all the patients were improved to varying degrees after treatment. Conclusion The patients with abdominal malignant tumors are the highrisk group of postoperative DVT. The perioperative positive prevention is essential, and early detection and treatment can obtain better effects.

关 键 词：腹部 肿瘤 静脉血栓形成 血栓溶解疗法 

分 类 号：R543.6[医药卫生—心血管疾病]