13例上腔静脉滤器置入预防急性上肢深静脉血栓形成后肺栓塞的效果分析  

Analysis of Effect of Superior Vena Cava Filters Placement in 13 Cases with Pulmonary Embolism after the Prevention of Acute Upper Extremity Deep Vein Thrombosis

作　　者：陈卢峰[1] 蔡旭东[1] 

机构地区：[1]福建医科大学附属第二医院胸心血管外科,福建泉州362000

出　　处：《中外医疗》2017年第15期60-61,64,共3页China & Foreign Medical Treatment

摘　　要：目的探析上腔静脉滤器置入预防急性上肢深静脉血栓形成后肺栓塞的效果。方法方便选取2012年5月—2014年5月该院收治的未置入上腔静脉滤器36例急性上肢深静脉血栓患者为此次研究对照组,选择2014年7月—2016年7月该院收治的置入上腔静脉滤器13例急性上肢深静脉血栓患者为此次研究观察组。对两组患者的肺栓塞发生情况进行对比分析。结果观察组患者未发生肺栓塞,对照组中4例患者发生肺栓塞,肺栓塞发生率11.11%,两组组间数据对比差异有统计学意义(P<0.05)。观察组中,所有患者滤器均未发生穿透静脉壁、心包、主动脉等恶性事件;有1例患者术后第12天因重症肺炎、心肺功能衰竭导致死亡、未取出滤器,其余患者经抗凝治疗2周后造影见滤器均未发生明显移位、且滤器均成功拔出。结论对上肢深静脉血栓患者置入上腔静脉滤器,可有效预防血栓形成后肺栓塞发生率,提升患者的生存质量,具备积极的应用和推广价值。Objective To study the effect of superior vena cava filters placement in pulmonary embolism after the prevention of acute upper extremity deep vein thrombosis. Methods 36 cases of patients with acute upper extremity deep vein thrombosis without placement of superior vena cava filters admitted and treated in our hospital from May 2012 to May 2014 were convenient selected as the control group, 13 cases of patients with acute upper extremity deep vein thrombosis with placement of superior vena cava filters admitted and treated in our hospital from July 2014 to July 2016 were selected as the observation group, and the occurrence of pulmonary embolism was compared between the two groups. Results In the observation group, there was no case with pulmonary embolism, in the control group, there were 4 cases with pulmonary embolism and the incidence rate of pulmonary embolism was 11.11%, and the differences between the two groups were statistically significant（P〈0.05）in the observation group, and the malignant events such as penetration vein wall, pericardium and aorta did not occur to all patients, and 1 case died due to severe pneumonia and cardio-pulmonary function failure in the 12 th day, and there was no obvious displacement in the other patients after 2-week anticoagulant therapy. Conclusion The placement of superior vena cava filters in patients with upper extremity deep vein thrombosis can effectively prevent the incidence rate of pulmonary embolism and improve the survival quality of patients, which is of positive application and promotion value.

关 键 词：上腔静脉滤器 上肢深静脉血栓 肺栓塞 效果 

分 类 号：R714[医药卫生—妇产科学]