预防恶性肿瘤患者静脉血栓栓塞症的临床分析

王莉; 刘义; 高芸菲; 孔曼; 孔斌; 杨建东; 黄希芬; 裴文仲

doi:10.7619/jcmp.201307043

预防恶性肿瘤患者静脉血栓栓塞症的临床分析

首都医科大学潞河教学医院肿瘤科,北京,101149

基金项目: 中国高校医学期刊临床专项资金

详细信息

中图分类号: R730.6
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- 发布日期: 2013-06-12

Clinical analysis of venous thromboembolism prevention for patients with malignant tumor

摘要

摘要: 目的探讨预防恶性肿瘤患者静脉血栓栓塞症的临床方法.方法将80例恶性肿瘤住院患者随机分为干预组60例和对照组20例.干预组根据血栓弹力图及凝血检查结果进行相应干预；对照组不予干预.干预组再根据不同高凝因素分为深静脉血栓(DVT)形成组(A组)、红细胞聚集组(B组)、无血栓及红细胞聚集组(C组),每组20例.观察各组患者下肢DVT形成、肺血栓栓塞症(PTE)以及出血事件发生情况.结果住院期间,干预组DVT发生率、致死性PTE发生率均显著低于对照组.各组住院期间以及出院随访期间出血事件比较,差异均无统计学意义.结论对于恶性肿瘤患者,根据血栓弹力图及凝血提示了解血栓形成早期凝血改变,并实施积极干预,可有效降低DVT及PTE发生率.根据不同致高凝状态,寻找不同因素,采取个体化治疗,可确保治疗的有效性及安全性.
- 恶性肿瘤 /
- 血栓弹力图 /
- 高凝状态 /
- 血栓形成

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参考文献(13)

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文章访问数: 223
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预防恶性肿瘤患者静脉血栓栓塞症的临床分析

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Clinical analysis of venous thromboembolism prevention for patients with malignant tumor

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出版历程

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