肺栓塞合并深静脉血栓患者下腔静脉滤器的应用  

Application of inferior vena cava filter in patients with pulmonary embolism complicated with deep venous thrombosis

作　　者：李波[1] 尹红[1] 何秀琼[2] 陈灿[1] 黄石安[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001 [2]湛江市第四人民医院,广东湛江524001

出　　处：《岭南心血管病杂志》2013年第6期676-678,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的探讨无抗凝禁忌证的肺栓塞合并深静脉血栓患者的下腔静脉滤器(inferior vena cava filter,IVCF)应用的效果。方法60例入选患者分两组,抗凝组和抗凝+IVCF组,进行1年随访观察。结果两组患者深静脉血栓再发生率、并发症发生率、病死率比较,差异无统计学意义(P﹥0.05),但在肺栓塞再发生率方面,抗凝组明显高于抗凝+IVCF组,差异有统计学差异[20%(6/30)vs.0,P<0.05]。结论 IVCF可以有效应用于无抗凝禁忌证的肺栓塞合并深静脉血栓患者。Objectives To assess the effect of inferior vena cava filter （IVCF） in patients with pulmonary embolism complicated with deep venous thrombosis （DVT）. Methods Sixty patients were randomly divided into two groups： antieoagulation group, anticoagulation and IVCF group. They were observed for 1 year＇s follow-up. Results There were no differences in the incidence rates of DVT, complications and mortality between the two groups （P〉0.05）, while the pulmonary embolism incidence was significantly higher in anticoagulation group than that in anticoagulation and IVCF group [20% （6/30）vs. 0,P〈0.05]. Conclusions IVCF can be effectively applied to patients with pulmonary embolism complicated with DVT, in whom anticoagulation was contraindicated.

关 键 词：肺栓塞 深静脉血栓 腔静脉滤器 

分 类 号：R543.2[医药卫生—心血管疾病]