Clinical analysis on 32 cases of deep venous thrombos is in ICU

LAI Su-he; et al

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Clinical analysis on 32 cases of deep venous thrombos is in ICU

更新时间：2024-01-17

- Clinical analysis on 32 cases of deep venous thrombos is in ICU
- Journal of Chongqing Medical University Vol. 34, Issue 4, Pages: 509-511(2009)
- 作者机构：
  
  重庆医科大学附属第一医院急诊科和中心ICU
- 作者简介：
- 基金信息：
- DOI：
  CLC： R543
- Published：2009，
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[1]赖苏何,徐昉.ICU内深静脉血栓形成32例临床分析[J].重庆医科大学学报,2009,34(04):509-511.

LAI Su-he, et al. Clinical analysis on 32 cases of deep venous thrombos is in ICU. [J]. Journal of Chongqing Medical University 34(4):509-511(2009)
[1]赖苏何,徐昉.ICU内深静脉血栓形成32例临床分析[J].重庆医科大学学报,2009,34(04):509-511. DOI：

LAI Su-he, et al. Clinical analysis on 32 cases of deep venous thrombos is in ICU. [J]. Journal of Chongqing Medical University 34(4):509-511(2009) DOI：

摘要

目的:探讨重症监护病房（Intensive care unit

ICU）深静脉血栓形成（Deep venous thrombosis

DVT）的发病率、发病原因、监测方法、治疗及预后

为ICU内DVT的防治提供依据。方法:回顾性分析该院中心ICU32例DVT患者的临床资料。结果:该院ICU内DVT发病率为4.7%（32/681）

本组中DVT发病率前三位病因分别为急性重症胰腺炎（46.9%

15/32）、多发伤（28.1%

9/32）、高血压脑出血（12.5%

14/32）。常见危险因素为深静脉置管、长期卧床、血液高凝状态等。经抬高患肢

抗凝和溶栓治疗7～14天30例治愈

占93.8%（30/32）。仅1例并发肺栓塞

占3.1%（1/32）

无病例死亡。结论:ICU危重病人是DVT高发人群

病因多样。对高危病人应密切注意防治血管性并发症。D-二聚体、血小板变化、下肢及盆腔深静脉彩色多普勒超声动态检查是有效的监测手段。早发现、早期积极抗凝溶栓治疗是救治关键。

Abstract

Objective:To investigate the deep venous thrombosis in ICU

including its morbidity rate

causes

monitoring

therapy and prognosis.Methods:A clinical retrospective analysis was carried out to investigate 32 patients with deep venous thrombosis in ICU.Re- sults:The morbidity of deep venous thrombosis in ICU was 4.7 percent(32/681)

and the top three causes were severe acute pancreatitis (46.9 percent

15/32)

multiple injurie(s28.1percent

9/32)

hypertensive cerebral hemorrhage(12.5 percent

4/32)in the investigated 32 cases.Factors significantly inducing deep venous thrombosis were deep venous catheter or bedridden or blood hypercoagulability.30 patients

accounting for 93.8 percen(t30/32)were cured after the treatment of lifting sickness limbs

and anticoagulation and thrombolysis 7 to 14 days.Only one patient was complicated by pulmonary embolism

but no one died.Conclusion:Deep venous thrombosis occurred for multiple causes.The serious patients in ICU were highly dangerous for it.We should pay attention to the high-risk people to avoid vascular complications.The d-dimmer detection

platelet count and deep venous color Doppler inspection were the effective ways to monitor it.The key to cure deep venous thrombosis was early finding and early treatment with anticoagulation and thrombolysis.

关键词

深静脉血栓形成重症监护室

Keywords

Deep venous thrombosisintensive care unit

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