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静脉血栓栓塞的危险因素 静脉血栓塞的危险因素
Frederick A Anderson1, Frederick A Spencer
1Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts, USA. Fred.Anderson@umassmed.edu
Circulation
|June 20, 2003
概括
静脉血栓塞栓症 (VTE) 风险现在已经在医疗患者中得到认可,而不仅仅是手术患者. 识别各种风险因素对于高风险个体的有效VTE预防至关重要.
科学领域:
- 内部医学 内部医学
- 血管医学 血管医学
- 流行病学 流行病学
背景情况:
- 从历史上看,静脉血栓塞栓症 (VTE) 被认为是主要是重大手术或末期疾病的并发症.
- 最近的证据表明,住院的医疗患者面临着与接受重大整体手术患者相比的静脉瘤风险.
- 显著比例的症状性VTE病例发生在没有最近重大疾病的非住院患者中.
研究的目的:
- 突出人们对风险人群对VTE的理解不断扩大.
- 强调医生需要评估VTE的危险因素.
- 为了确定可能受益于VTE预防的高风险患者.
主要方法:
- 审查涉及住院医疗患者的最近临床试验.
- 对VTE发生情况的流行病学研究的分析.
- 检查VTE的既定和新出现的风险因素.
主要成果:
- 住院的医疗患者表现出与重大手术后患者相似的静脉瘤风险.
- 25%到50%的症状性VTE事件发生在住院或最近重大疾病之外.
- 某些特定因素,如重大手术,创伤,不运动以及某些医疗状况,会增加静脉突发症的风险.
结论:
- 静脉瘤风险的范围超出了手术患者的范围,包括广泛的医疗条件.
- 对个别风险因素的全面评估对于确定适当的VTE预防至关重要.
- 了解风险因素的相互作用是优化VTE预防策略的关键.
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