摘要
目的回顾性分析胸外科肿瘤术后患者静脉血栓栓塞(VTE)形成的原因,并探讨预防措施。方法将2015年10月-2019年5月该院胸外科28例肿瘤术后VTE患者资料进行回顾性分析,并将具有相同高危因素但术后未发生VTE的41例患者资料进行对比,评估其风险性因素。结果两组患者的年龄、体质指数(BMI)、手术持续时间、术后失血量均差异无统计学意义(t=1.120、-0.287、-0.206、-1.802,P>0.05),血栓组的平均住院时间(30.8±7.2)d明显高于对照组(t=5.229,P<0.05);两组患者在术前化疗、术后化疗、进行预防性抗凝措施以及给予止血药物方面差异有统计学意义(χ~2=8.133、13.647、21.418、12.003,P<0.05)。结论胸外科肿瘤术后患者围手术期应进行危险性因素评估,积极采用多种联合性预防措施,以减少术后VTE的发生。
Objective To retrospectively analyze the causes of venous thromboembolism(VTE) in patients after thoracic surgery and to explore the preventive measures. Methods The data of 28 patients with VTE after thoracic surgery in our hospital from October 2010 to May 2019 were retrospectively analyzed, and 41 patients with the same high risk factors but no VTE after surgery were compared to evaluate the risk factors. Results There was no significant difference in age, body mass index(BMI), duration of operation and blood loss after operation between the two groups(t=1.120,-0.287,-0.206,-1.802, P >0.05). The average hospitalization time of thrombosis(30.8 ±7.2)d group was significantly higher than that of control group(t=5.229, P<0.05). There were significant differences between the two groups in the presence or absence of chemotherapy, preventive anticoagulation and hemostatic drugs(χ~2=8.133, 13.647, 21.418, 12.003, P <0.05). Conclusion Perioperative risk factors should be assessed and combined preventive measures should be adopted to reduce the incidence of VTE after thoracic surgery.
作者
林静
郭秋红
林颖
LIN Jing;GUO Qiu-hong;LIN Ying(The Second People's Hospital Affiliated to Fujian University of Chinese Medicine,Fuzhou,Fujian Province,350003,China)
出处
《中外医疗》
2020年第10期141-143,共3页
China & Foreign Medical Treatment
关键词
胸外科
肿瘤
术后
静脉血栓栓塞
危险性因素
Thoracic surgery
Tumors
Postoperative
Venous thromboembolism
Risk factors
