首页|围手术期静脉血栓栓塞症药物预防的研究进展

围手术期静脉血栓栓塞症药物预防的研究进展

Research progress of drug prevention of venous thromboembolism in pe-rioperative period

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静脉血栓栓塞症是外科常见的术后并发症,也是围手术期严重且可预防的并发症之一,具有发病率高、易漏诊、潜在风险高等特点,可增加术后病死率,影响患者预后.静脉血栓栓塞包括深静脉血栓和肺栓塞两种形式.深静脉血栓是指在深静脉中形成或存在血栓.深静脉血栓主要发生在下肢,其次是上肢.三分之一的深静脉血栓患者会出现肺栓塞.肺栓塞是指肺动脉或其分支被血栓(最可能的来源是来自下肢深静脉的栓子,有时由脂肪或空气造成)阻塞.肺栓塞是一种严重且危及生命的疾病,预防深静脉血栓形成可降低肺栓塞的发病率,以达到延长存活时间甚至挽救生命的目的.因此明确应用药物对于静脉血栓栓塞症预防的有效性及安全性,围手术期对高危人群进行有效的药物干预能够显著降低患者术后血栓性并发症的发生率,选用合适的药物对改善围手术期患者的预后是非常重要的.
Venous thromboembolism is a common postoperative complication in surgery and one of the serious and pre-ventable complications in the perioperative period.It is characterized by high morbidity,easy to miss diagnosis,and high potential risk,which can increase the postoperative morbidity and mortality rate,and affect the patients'prognosis.Venous thromboembolism includes two forms of deep vein thrombosis and pulmonary embolism.Deep vein thrombosis refers to the formation or existence of thrombus in deep vein.Deep venous thrombosis mainly occurs in lower limbs,followed by upper limbs.One third of patients with deep venous thrombosis will have pulmonary embolism.Pulmonary embolism refers to the blockage of pulmonary artery or its branches by thrombus(the most likely source is embolus from deep vein of lower extrem-ity,sometimes caused by fat or air).Pulmonary embolism is a serious and life-threatening disease.Preventing deep vein thrombosis can reduce the incidence of pulmonary embolism,so as to prolong the survival time and even save lives.There-fore,it is important to clarify the effectiveness and safety of drug application for venous thromboembolism prophylaxis,and effective pharmacologic interventions in the perioperative period for high-risk groups can significantly reduce the incidence of postoperative thrombotic complications in patients,and the selection of appropriate medications is important for improving the prognosis of patients in the perioperative period.

Venous thromboembolismAnticoagulant drugDeep vein thrombosisDirect oral anticoagulant

冯亚楠、孙自强、刘鹏

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济宁医学院临床医学院,山东济宁 272067

济宁医学院附属医院血管外科,山东济宁 272007

静脉血栓栓塞症 抗凝药物 深静脉血栓 直接口服抗凝药

高层次科研项目培育计划立项项目

JYGC2022FKJ003

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(21)