首页|合并下肢深静脉血栓恶性肿瘤患者并发肺栓塞的危险因素分析

合并下肢深静脉血栓恶性肿瘤患者并发肺栓塞的危险因素分析

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目的 探讨合并下肢深静脉血栓恶性肿瘤患者并发肺栓塞的相关危险因素.方法 回顾性分析124 例合并下肢深静脉血栓的恶性肿瘤患者的临床资料.结果 共纳入 124 例,其中并发PE者为观察组共 19 例(占 15.3%),未发生PE者105 例纳入对照组.下肢DVT血栓侧别在两组间存在统计学差异(P=0.030).多因素Logistic回归分析显示,住院期间化疗[化疗vs.未化疗,OR=3.495(95%CI:1.081~11.304,P=0.037)]为合并下肢DVT恶性肿瘤患者并发PE的独立危险因素.结论 住院期间接受化疗是合并下肢DVT的恶性肿瘤患者发生PE的显著危险因素,更积极的CTPA筛查及早期干预是必要的.
Risk Factor Analysis of Pulmonary Embolism in Patients with Malignant Tumors Com-plicated with Lower Extremity Deep Vein Thrombosis
Objective To explore the risk factors of pulmonary embolism(PE)in malignant tumor with lower limb deep venous thrombosis(DVT).Methods The clinical data of 124 patients with malignant tumor complicated with deep venous throm-bosis of lower limbs were analyzed retrospectively.Results A total of 124 patients were enrolled in this cohort,of which 19 pa-tients(15.3%)in the observation group were complicated with PE,and 105 patients without PE were enrolled in the control group.There was a significant difference in the side of thrombus in lower extremity DVT between the 2 groups(P=0.030).Multi-variate Logistic regression analysis showed that only in-hospital chemotherapy(chemotherapy vs.no chemotherapy,OR=3.495(95%CI:1.081~11.304,P=0.037))was an independent risk factor for PE in malignant tumor patients with lower limb DVT.Conclusion Chemotherapy during hospitalization is a significant risk factor for PE in malignant tumor patients with lower limb DVT,and more active CTPA screening and early intervention are necessary.

Lower extremity deep vein thrombosisMalignancyPulmonary embolismRisk factors

廖君、何亮、刘星、杨旭丽

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330006 南昌大学第一附属医院

下肢深静脉血栓 恶性肿瘤 肺栓塞 危险因素

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(12)