患有慢性静脉疾病的患者的静脉变出血的危险因素
Davide Costa1,2, Nicola Ielapi2,3, Roberto Minici4
1Department of Law, Economics and Sociology, University "Magna Graecia" of Catanzaro, 88100 Catanzaro, Italy.
Medicina (Kaunas, Lithuania)
|June 28, 2023
概括
流血性静脉 (VVs) 是慢性静脉疾病 (CVD) 的严重并发症. 晚期心血管疾病阶段,年龄较大和某些药物增加了VVs出血的风险,需要仔细监测.
科学领域:
- 血管医学 血管医学
- 弗莱博学 (Phlebology) 是一种神经病学.
- 流行病学 流行病学
背景情况:
- 慢性静脉疾病 (CVD) 影响了成年人口的很大一部分.
- 静脉 (VVs) 是心血管疾病的常见表现,可能导致危及生命的出血.
- 识别VV出血的危险因素对于患者管理至关重要.
研究的目的:
- 为了评估与慢性静脉疾病患者的静脉动出血相关的风险因素.
- 为了确定患者的特征和临床因素,使个人倾向于VV破裂和出血.
主要方法:
- 采用了回顾性研究设计,分析了2019-2022年的数据.
- 33名患有出血VVs (心血管疾病并发症) 的患者与99名心血管疾病但没有出血的对照患者进行了比较.
- 患者从一个由1048名心血管疾病患者组成的较大队列中进行了选择.
主要成果:
- 晚期心血管疾病阶段 (C4b),年龄较大,独自生活和心血管并发症 (高血压,心血管不全) 是显著的风险因素.
- 使用抗凝血剂,阿司匹林和精神药物增加了出血风险.
- 特定的静脉逆流模式 (例如,膝下GSV逆流,非沙芬逆流) 和缺乏先前的心血管疾病治疗也被确定为危险因素.
结论:
- 流血性VVs代表了心血管疾病的潜在致命并发症.
- 监测确定的风险因素对于减少VV出血的发生率和影响至关重要.
- 需要进一步的研究来发现额外的危险因素并改善患者的治疗结果.
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