Cognitive changes and modern treatment concepts of "venous thromboembolism"
陈忠 1杨耀国 1王丽萍
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作者信息
1. 首都医科大学附属北京安贞医院血管外科中心，北京 100029
折叠
摘要
人类对于静脉血栓栓塞症（VTE）的科学认识和探索至今已有一百多年，对于疾病的认知变迁推动了治疗手段的发展。深入探索静脉血栓形成机制引导了抗凝溶栓药物的推陈出新，同时医疗技术的进步使得腔内技术治疗VTE成为可能。VTE治疗理念也随着治疗手段的多样化而不断更新，对治疗效果和安全性都提出了更高的要求。本文将跟随VTE治疗手段的变迁梳理各种治疗方式在现代VTE治疗理念中的角色和作用，并简述对于髂静脉压迫综合征和肺血栓栓塞两类特殊VTE疾病的治疗理念。 The scientific understanding and exploration of venous thromboembolism (VTE) have continued since more than a hundred years ago, and the cognitive changes in diseases have promoted the development of treatment methods. In-depth exploration of the mechanism of venous thrombosis has led to the introduction of anticoagulant and thrombolytic drugs. The advancement of medical technology has made it possible to treat VTE with endovascular technology. The concepts of VTE treatment are also constantly updated with the diversification of treatment methods, which puts forward higher requirements for treatment effect and safety. This article will follow the changes in VTE treatment methods to clarify the role and fundation of each treatment method in the current VTE treatment concepts, and briefly describe the treatment concepts for two special VTE diseases, iliac venous compression syndrome and pulmonary thromboembolism.
Abstract
The scientific understanding and exploration of venous thromboembolism (VTE) have continued since more than a hundred years ago, and the cognitive changes in diseases have promoted the development of treatment methods. In-depth exploration of the mechanism of venous thrombosis has led to the introduction of anticoagulant and thrombolytic drugs. The advancement of medical technology has made it possible to treat VTE with endovascular technology. The concepts of VTE treatment are also constantly updated with the diversification of treatment methods, which puts forward higher requirements for treatment effect and safety. This article will follow the changes in VTE treatment methods to clarify the role and fundation of each treatment method in the current VTE treatment concepts, and briefly describe the treatment concepts for two special VTE diseases, iliac venous compression syndrome and pulmonary thromboembolism.
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