小腿肌间静脉血栓形成与肺栓塞相关性研究进展  

Research progress on correlation between muscular calf vein thrombosis and pulmonary embolism

作　　者：陈璐 徐磊[1] CHEN Lu;XU Lei(Department of Respiratory and Critical Care Medicine,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot,Inner Mongolia,010050)

机构地区：[1]内蒙古医科大学附属医院呼吸与危重症医学科,内蒙古呼和浩特010050

出　　处：《实用临床医药杂志》2023年第12期141-148,共8页Journal of Clinical Medicine in Practice

基　　金：内蒙古自治区科技计划项目(2022YFSH0092);内蒙古医科大学面上项目(YKD2021MS003);内蒙古自治区高等学校科学研究项目(NJZY23150)。

摘　　要：小腿肌间静脉血栓形成(MCVT)是下肢深静脉血栓形成(DVT)的常见疾病。研究发现,MCVT可进展至近端深静脉,引起更严重的下肢DVT,或栓子脱落继发肺血栓栓塞(PTE),导致猝死。本文主要探讨MCVT合并PTE的发生率,MCVT与PTE可能相关的解剖学因素,MCVT并发PTE的影响因素以及MCVT患者的PTE风险评估现状,以期为早期识别高PTE发生风险及指导MCVT患者的个性化临床决策提供参考。Muscular calf vein thrombosis(MCVT)is the common site of deep vein thrombosis(DVT)in the lower extremities.Researchers have found that MCVT can progress to the proximal deep vein and cause more severe DVT in lower limbs,or thrombus detachment can lead to secondary pulmonary thromboembolism(PTE)and even sudden death.This paper mainly explored the incidence of MCVT complicated with PTE,the possible anatomical factors related to MCVT and PTE,the influencing factors of MCVT complicated with PTE,and the current status of risk assessment of PTE in MCVT patients,in order to provide reference for early identification of high risk of PTE and guidance for personalized clinical decision-making in MCVT patients.

关 键 词：小腿肌间静脉血栓 下肢深静脉血栓 肺栓塞 解剖学因素 风险评估 

分 类 号：R563.5[医药卫生—呼吸系统] R543.6[医药卫生—内科学]