妇科手术后下肢静脉血栓病15例分析  

Clinical analysis of 15 postoperative venous thrombosis in gynecology

作　　者：万璟[1] 古健[1] 李田[1] 

机构地区：[1]中山大学附属第三医院妇科,广州510630

出　　处：《中国实用医药》2010年第27期173-175,共3页China Practical Medicine

摘　　要：目的探讨妇科手术后下肢静脉血栓病的临床特点及早期预测方法。方法回顾性分析15例妇科手术后静脉血栓病患者的临床资料及诊断和治疗的方法。结果患者多在术后1周内起病,好发于左下肢。术后24h血清纤维蛋白原水平(4.64±0.92)g/L。根据患者情况选用抗凝、溶栓治疗,配合下肢静脉滤器置入,患者均治愈,无并发症发生。结论术后24h血清纤维蛋白原水平异常升高可能是下肢静脉血栓病的早期预测指标。抗凝或溶栓治疗,配合下肢静脉滤器置入有较好疗效。Objective To describe the clinical characters of venous thrombosis after gynecological operation and to study the method of early predictive index. Methods The clinical profiles of 15 cases with postoperative venous thrombosis were analyzed retrospectively. Results Postoperative venous thrombosis always happened in 7 days after operation,and left lower limb were often involved. Serum level of fibrinogen after 24 hours of operation was 4. 64 ± 0. 92 g/L. Anticoagulation or thrombolysis,accompanied with inferior venacwal-filter were used according to patients condition. All the patients were cured without complications. Conclusion Serum level of fibrinogen after 24 hours of operation may be the early predictive index of postoperative venous thrombosis. Anticoagulation or thrombolysis,accompanied with Inferior venacwalfilter were effective treatment.

关 键 词：手术后并发症 静脉血栓病 

分 类 号：R713[医药卫生—妇产科学]