相关实验视频
Updated: Jul 19, 2025

10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.3K
肩膀透镜术后的静脉血栓栓塞:一个系统的审查
Jacob J Triplet1, Hayden B Schuette1, Adnan N Cheema1
1Mayo Clinic, Rochester, MN, USA.
JSES reviews, reports, and techniques
|August 17, 2023
概括
在肩膀关节镜检查后,静脉血栓栓塞事件 (VTE) 是罕见的,总发病率为0.21%. 这一系统性审查强调了低风险,但强调了外科医生对潜在并发症和当前预防策略的认识.
科学领域:
- 整形外科手术 整形外科手术
- 血管外科 血管外科
- 医学研究方法学 医学研究方法学
背景情况:
- 静脉血栓栓塞事件 (VTE) 在骨科手术后存在风险,尽管在上肢手术中不太常见.
- 在肩关节镜检查后,VTE的确切发病率可能在现有文献中被低估.
- 本研究侧重于VTE发病率,特别是在关节镜肩部手术后,不包括大型数据库研究.
研究的目的:
- 系统地审查和报告肩部镜手术后的VTE发生率.
- 为了提供对这种特定患者群体中VTE风险的最新理解.
- 从大型外科或保险索赔数据库中排除数据,以确保数据完整性.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 从创立到2021年9月1日,搜索了多个数据库,寻找英语语言的研究.
- 两位独立的审稿人对研究进行了选,不包括大型数据库研究.
主要成果:
- 包括13项涉及32,407名患者的研究.
- 整体VTE发生率为0.21% (DVT为0.15%,PE为0.08%).
- 对于关节镜旋转袖口修复,整体VTE率为1.04% (DVT0.71%,PE0.37%).
结论:
- 肩关节镜检查后,有症状的VTE并不常见,但仍然是一个潜在的并发症.
- 诸如手术时间和肥胖等风险因素可能会影响VTE的发生,尽管数据是相互矛盾的.
- 对于低风险患者来说,早期动员似乎与化学预防在预防VTE方面同样有效.
相关概念视频
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10
Venous Thrombosis I: Introduction
12
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
12
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
14
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
14
Pulmonary Embolism III: Nursing Management
15
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
15
Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14

