目的 探讨深静脉血栓栓塞性疾病( venous thromboembolism, VTE)患者的治疗管理方案,以提高治疗效果.方法 回顾性收集山西医科大学附属大医院血管外科2016年10月—2017年7月收治的280例住院VTE患者的临床资料,对全程治疗管理方案进行总结分析.结果 280例发生VTE的主要病因为手术制动、高血压病、骨折和下肢静脉功能不全等;下肢静脉多普勒超声显示VTE类型为中央型104例、周围型80例及混合型96例;CT肺动脉造影发现合并肺栓塞70例.确诊后,280例给予抗凝治疗、溶栓治疗及下腔静脉滤器植入,住院期间给予规范化的康复管理.结论 VTE的全程治疗管理已成为临床医师重视的问题,积极预防、早期识别和有效的治疗管理方案对于改善患者预后非常重要.%Objective To explore the treatment and rehabilitation management of patients with venous thromboembolism(VTE), in order to improve the therapeutic effect. Methods We retrospectively collected the clinical data of 280 patients with VTE who were admitted and treated from October 2016 to July 2017 in the Depart-ment of Vascular Surgery of Shanxi Dayi Hospital of Shanxi Medical University. The disease classification, clinical manifestations and overall treatment management were analyzed and summarized. Results The main causes of VTE in 280 patients were surgical immobility, hypertension,fractures and venous insufficiency in the lower extremities. The types of lesions shown by venous Doppler in the lower extremities included central type ( n＝104) , peripheral type (n＝80) and mixed type (n＝96). CT pulmonary angiography revealed pulmonary embolism in 70 patients. After diagnosis, all 280 patients were given anticoagulant therapy, thrombolytic therapy, and implantation of inferior vena cava filter, and provided with standardized rehabilitation management during hospitalization. Conclusion The whole process management of VTE treatment has become a hot spot that clinicians should focus on. Active preven-tion, early identification and effective treatment management programs are very important to improve the prognosis of patients.
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