Venous thromboembolism(VTE)is a common complication after surgical procedures,and an important risk factor for unexpected death in hospitals,and the second leading cause of death for tumor patients.Patients with advanced head and neck cancer usually require extensive radical surgery and simultaneous repair and reconstruction surgery,and have many risk factors such as elderly,long surgical time,long postoperative bed rest,and hypercoagulable state caused by tumor and chemotherapy drugs,which suggest that patients with head and neck cancer should be an extremely high risk group for VTE.However,little attention has been paid to the occurrence of VTE in patients with cancer in the head and neck,and the data on the incidence of VTE after head and neck cancer surgery are also limited.So far,there is a lack of relevant treatment consensus or guidelines for perioperative VTE of head and neck cancer in China.The level of prevention and management of perioperative VTE of head and neck cancer varies among different institutions,and there is a lack of unified and scientific diagnosis and treatment standards and objective evaluation system for prevention and man-agement.In order to unify and standardize the diagnosis and treatment of perioperative VTE in head and neck cancer,re-duce the waste of medical resources and improve the treatment effectiveness,domestic experts in this field have repeatedly discussed the diagnosis and treatment opinions from 14 famous medical institutions in China.This article refers to the re-search results and diagnosis and treatment experience of perioperative VTE in head and neck cancer world wide in recent years,and formulates this expert consensus for reference by relevant clinicians.
关键词
静脉血栓栓塞症/肺栓塞/头颈肿瘤/专家共识
Key words
Venous thromboembolism/Pulmonary embolism/Head and neck tumor/Expert consensus