150例术后深静脉血栓的预防分析

M. A. Sarker, A. Amin, Johirul Lslam, A. Nuruzzaman, A. Bhattacharjee
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引用次数: 0

摘要

背景:静脉血栓栓塞仍然是外科实践中常见的发病原因,有时甚至导致死亡。在发达国家,约10%的医院死亡是由于深静脉血栓形成(DVT)引起的肺栓塞。深静脉血栓在亚洲国家并不罕见。目的:了解深静脉血栓形成的发生率、人口学特征及危险因素。方法:选取150例急诊或择期手术时间大于1小时的患者作为研究对象。通过病史、临床检查和双相扫描对患者进行评估。通过计算机程序收集分析。结果:男性102例,女性48例。男性深静脉血栓发生率为36.3%,女性为27.5%。50岁以上年龄组静脉血栓发生率较高,占43.33%。五分之一的深静脉血栓患者是吸烟者。手术时间较长与DVT的发生相关,急诊手术DVT的发生略高于择期手术。在一些合并症中,特别是糖尿病中,这种情况的发生(36)。7%)和癌症(33.3%)值得注意。在51例深静脉血栓患者中,超过84%的患者发展为亚临床深静脉血栓。结论:在孟加拉国,人们认为深静脉血栓是罕见的。但目前的研究表明,在孟加拉国,术后深静脉血栓的发生率并不是那么罕见。外科杂志(2016)Vol. 20 (2):42-45
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dence of Postoperatve Deep Vein Thrombosis:A Study of 150 Cases
Background: Venous thromboembolism remains a common cause of morbidity and sometimescause of death in surgical practice. In developed world about 10% of hospital deathsare due to pulmonary embolism resulting from deep vein thrombosis( DVT). DVT in Asiancountries is not a rare condition. Objective: The purpose of the study was to find the incidence ,demgraophic characterand risk factors of deep vein thrombosis. Methods: 150patients undergoing emergency or elective operation of more than one hourof duration was selected for study. Patients evaluated by history, clinical examination andduplex scan. Collected analyzed by computer program. Results: 102 cases were male and 48 cases were female. The incidence of DVT in malewas 36.3% while among females it was 27.5%. venous thrombosis in age group above 50yrs is quite high, (43.33%) . One-fifth of the DVT patients were smokers. Longer duration ofoperation procedure was correlated with development of DVT and development of DVT waslittle higher in emergency operation than elective one. The occurrence of the condition insome co-morbid states especially diabetes mellitus (36. 7%) and cancer (33.3%) is noteworthy.Out of 51 DVT patients more than 84% developed sub-clinical DVT. Conclusion: In Bangladesh it is assumed that DVT is rare. But the current study revealsthat the incidence of postoperative DVT in Bangladesh is not that much rare event. Journal of Surgical Sciences (2016) Vol. 20 (2) :42-45
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