摘要
静脉血栓栓塞症(VTE)是临床常见病,其在口腔颌面外科围手术期发病率较低,但危害极大。临床上关于VTE评估的评分量表很多,且相关预防的指南也很多,但目前国内外对于口腔颌面外科围手术期VTE评估的评分量表以及相关预防的指南尚无明确规范。为了尽量减少该疾病的发生,我们结合相关专家的经验,制定了本专家共识,对VTE的病因及临床表现、口腔颌面外科患者VTE的危险因素、评分量表以及预防措施进行阐述,制定了改良Caprini评分量表(口腔颌面外科试用版)、口腔颌面外科患者VTE的临床诊断流程图以及术后VTE预防流程图的建议方案,供临床医师参考。
Venous thromboembolism(VTE)is common in clinical practice.The incidence is low in perioperative period of oral and maxillofacial surgery,but it is very harmful for patients.There are many scoring scales for the evaluation of VTE,and also many guidelines for the prevention of VTE.However,at present,there are no clear specifications for the scoring scale and related prevention guidelines for VTE in oral and maxillofacial surgery.In order to minimize the occurrence of VTE and provide reference for clinical practice,we organized an event in which relevant Chinese experts discussed and formulated this consensus on the etiology and clinical manifestations of VTE,the risk factors,scoring scales and preventive measures of VTE in oral and maxillofacial surgery.Besides wedeveloped the modified Caprini scale(the trial version for oral and maxillofacial surgery),the recommended protocol of the flow chart of clinical diagnosis and postoperative prevention of VTE in oral and maxillofacial surgery.
作者
孙沫逸
郭伟
冉炜
唐瞻贵
李龙江
孙志军
孟箭
任国欣
廖贵清
郑家伟
尚伟
张东升
杨凯
龚忠诚
武和明
席庆
谢卫红
孔琳
王月红
魏建华
杨耀武
吴炜
侯锐
牛芳桥
张春谊
杨霞
SUN Moyi;GUO Wei;RAN Wei;TANG Zhangui;LI Longjiang;SUN Zhijun;MENG Jian;REN Guoxin;LIAO Guiqing;ZHENG Jiawei;SHANG Wei;ZHANG Dongsheng;YANG Kai;GONG Zhongcheng;WU Heming;XI Qing;XIE Weihong;KONG Lin;WANG Yuehong;WEI Jianhua;YANG Yaowu;WU Wei;HOU Rui;NIU Fangqiao;ZHANG Chunyi;YANG Xia(State Key Laboratory of Military Stomatology,National Clinical Research,Shaanxi Clinical Research Center for Oral Diseases,Department of Oral and Maxillofacial Surgery,School of Stomatology,The Fourth Military Medical University,China;Department of Oral and Maxillofacial Surgery,Shanghai Ninth People's Hospital,Shang Haijiaotong University School of Medicine;The First Affiliated Hospital,Sun Yat-sen University,Guangzhou;Central South University,Xiangya School of Stomatology,Changsha;West China School Hospital of Stomatology Sichuan University,Chengdu;Department of Oral and Maxillofacial Surgery,Hospital of Stomatology Wuhan University;Department of Stomatology,Xuzhou Central Hospital;Department of Oral and Maxillofacial Surgery,Hospital of Stomatology,Sun Yan-sen University,Guangzhou;Department of Oral and Maxillofacial Surgery,The Affiliated Hospital of Qingdao University;The Second Affiliated Hospital of Shandong First Medical University;The First Affiliated Hospital of Chongqing Medical University;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Xinjiang Medical University,Urumqi;Department of Oral and Maxillofacial Surgery,Stomatological College of Nanjing Medical University;Department of Stomatology,Chinese PLA General Hospital,Beijing;Department of Oral and Maxillofacial Surgery,The First Affiliated Hospital of Zhengzhou University;Fudan University Shanghai Cancer Center,Shanghai;State Key Laboratory of Military Stomatology&National Clinical Research Center for Oral Diseases,Department of Medical Rehabilitation,School of Stomatology,the Fourth Military Medical University)
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2021年第3期293-302,共10页
Journal of Practical Stomatology
基金
第四军医大学口腔医院新技术新业务(2019)(编号:41742921244)。
关键词
静脉血栓栓塞症
评估与预防
口腔颌面外科
专家共识
Venous thromboembolism
Assessment and prevention
Oral and maxillofacial surgery
Expert consensus
