高海拔地区腹腔镜手术后并发深静脉血栓的防治
Prevention and treatment of deep venous thrombosis after laparoscopic operation at high altitude area
王福利 1董青川 1赵至成 2仲小舟 2赵泽文 2朱家曙 2蒙禧增 2刘贺亮1
作者信息
- 1. 第四军医大学西京医院泌尿外科,陕西,西安,710033
- 2. 解放军第115医院外二科,西藏,林芝,860000
- 折叠
摘要
目的:探讨高海拔地区(>3000 m,PO2<75%)腹腔镜术后对并发深静脉血栓的防治措施.方法:回顾分析在我院行腹腔镜手术的238例患者临床资料,分为处理组和对照组,处理组117例患者在围手术期采取积极的干预措施,而对照组121例患者给予常规处理,比较两组患者术后深静脉血栓形成(DVT)发生的情况.对13例发生DVT的患者应用抗凝、溶栓等综合治疗.结果:DVT的发病率在处理组为1.7%,而对照组为9.1%,两组相比差异有统计学意义(P<0.05),通过综合治疗,疗效优者10例,良者3例.结论:在高海拔地区,围手术期应积极采取预防措施,改善血液高凝状?创态,并发DVT后要早期诊断、早期治疗.
Abstract
AIM: To explore the prevention and treatment of deep venous thrombosis after laparoscopic operation at high altitude area( ＞ 3000 meter, PO2 ＜75%). METHODS: The clinical data of 238 patients underdone laparoscopic operation at high altitude area were analyzed. 117 patients ( treated group) were treated with energetic interventional measures, but 121 patients(control group) were treated routinely. The incidence of deep venous thrombosis (DVT) after laparoscopic operation was observed. And 13 patients with DVT received combined therapy, including anticoagulation, thrombolysis et al. RESULTS: The incidence of DVT was 1.71% in treated group and 9.09% in control group, there was significant difference (P ＜ 0.05). After combined therapy, 10 patients got excellent curative effect, and 3 patients got good curative effect. CONCLUSION: At high altitude area, preventive measures are necessary for DVT to improve hypercoagulabale state during perioperative period. The patients of DVT need early diagnosis and early treatment.
关键词
高海拔地区/腹腔镜手术/深静脉血栓形成/预防/治疗Key words
high altitude area/laparoscopic operation/deep venous thrombosis/prevention/treatment引用本文复制引用
基金项目
国家科技攻关计划(2004BA720A12)
出版年
2009
NETL
NSTL
维普
万方数据