下肢静脉血栓栓塞症的治疗：最新综述。

IF 3.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Cleveland Clinic Journal of Medicine Pub Date : 2024-04-01 DOI:10.3949/ccjm.91a.22090

Farah Ziyadeh, Yael Mauer

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引用次数: 0

摘要

根据美国胸科医师学会 2021 年更新的指南，静脉血栓栓塞的部位、症状的严重程度、血栓扩展的风险与出血的风险以及合并症都会影响治疗的决定、抗血栓药物的选择以及治疗的持续时间。对于无高风险特征的孤立远端深静脉血栓患者，建议监测病情进展，而不是开始抗凝治疗。然而，指南强烈建议对近端深静脉血栓进行抗凝治疗。现在有更多证据支持对高危患者的浅静脉血栓进行抗凝治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Management of lower-extremity venous thromboembolism: An updated review.

According to the 2021 updated guidelines of the American College of Chest Physicians, the location of venous thromboembolism, the severity of symptoms, the risk of thrombus extension vs that of bleeding, and comorbidities all affect the decision to treat, the choice of anti-thrombotic agent, and the duration of therapy. In patients with isolated distal deep vein thrombosis without high-risk features, monitoring progression is recommended over initiating anticoagulation. However, treatment of proximal deep vein thrombosis with anticoagulation is strongly recommended by the guidelines. More evidence now supports the treatment of superficial vein thrombosis with anticoagulation in high-risk patients.

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来源期刊

Cleveland Clinic Journal of Medicine 医学-医学：内科

CiteScore

3.80

自引率

0.00%

发文量

109

审稿时长

6-12 weeks

期刊介绍： The mission of Cleveland Clinic Journal of Medicine (CCJM) is to provide its readers with up-to-date, practical, clinical information relevant to internal medicine, cardiology, and related fields. Consistent with this mission, CCJM focuses on timely review articles and other content that has a continuing-education orientation rather than on original research or case reports. CCJM authors, drawn from Cleveland Clinic and other top medical institutions throughout the world, are asked to identify new findings that are changing the practice of medicine and to advise readers how to apply them in daily patient care. Authors are chosen for their experience, acquired through caring for patients, teaching other physicians, and researching clinical questions.