高海拔地区腹腔镜手术后并发深静脉血栓的防治  

Prevention and treatment of deep venous thrombosis after laparoscopic operation at high altitude area

作　　者：王福利[1] 董青川[1] 赵至成[2] 仲小舟[2] 赵泽文[2] 朱家曙[2] 蒙禧增[2] 刘贺亮[1] 

机构地区：[1]第四军医大学西京医院泌尿外科,陕西西安710033 [2]解放军第115医院外二科,西藏林芝860000

出　　处：《第四军医大学学报》2009年第20期2215-2217,共3页Journal of the Fourth Military Medical University

基　　金：国家科技攻关计划项目(2004BA720A12)

摘　　要：目的:探讨高海拔地区(>3000m,PO2<75%)腹腔镜术后对并发深静脉血栓的防治措施.方法:回顾分析在我院行腹腔镜手术的238例患者临床资料,分为处理组和对照组,处理组117例患者在围手术期采取积极的干预措施,而对照组121例患者给予常规处理,比较两组患者术后深静脉血栓形成(DVT)发生的情况.对13例发生DVT的患者应用抗凝、溶栓等综合治疗.结果:DVT的发病率在处理组为1.7%,而对照组为9.1%,两组相比差异有统计学意义(P<0.05),通过综合治疗,疗效优者10例,良者3例.结论:在高海拔地区,围手术期应积极采取预防措施,改善血液高凝状态,并发DVT后要早期诊断、早期治疗.AIM： To explore the prevention and treatment of deep venous thrombosis after laparoscopic operation at high altitude area（ 〉 3000 meter, PO2 〈 75% ）. METHODS： The clinical data of 238 patients underdone laparoscopic operation at high altitude area were analyzed. 117 patients （treated group） were treated with energetic interventional measures, but 121 patients（ control group ） were treated routinely. The incidence of deep venous thrombosis （DVT） after laparoseopic operation was observed. And 13 patients with DVT received combined therapy, including antieoagnlation, thrombolysis et al. RESULTS ： The incidence of DVT was 1.71% in treated group and 9.09% in control group, there was significant difference （ P 〈 0.05 ）. After combined therapy, 10 patients got excellent curative effect, and 3 patients got good curative effect. CONCLUSION： At high altitude area, preventive measures are necessary for DVT to improve hypereoagulabale state during perioperative period. The patients of DVT need early diagnosis and early treatment.

关 键 词：高海拔地区 腹腔镜手术 深静脉血栓形成 预防 治疗 

分 类 号：R657[医药卫生—外科学]