上肢深静脉血栓形成的风险和预后
Yusuke Endo1,2, Naoki Unno1,2,3, Naoto Yamamoto3
1Division of Vascular Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Annals of vascular diseases
|October 2, 2023
概括
上肢深静脉血栓塞 (UEDVT) 经常发生在恶性瘤和中央静脉导管中. 虽然像肺栓塞这样的并发症很少见,但与癌症相关的UEDVT的预后非常差.
科学领域:
- 血管医学 血管医学
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 上肢深静脉血栓塞 (UEDVT) 是一个重要的临床问题.
- 了解其风险因素,表现和结果对于患者管理至关重要.
研究的目的:
- 研究上肢深静脉血栓症 (UEDVT) 患者的临床特征,治疗和结果.
主要方法:
- 76名UEDVT患者的回顾性审查.
- 对患者人口统计,血栓位置,治疗方法和生存数据的分析.
主要成果:
- 恶性病 (67.1%) 和内置中央静脉 (CV) 导管 (57.9%) 是常见的并发症.
- 右内静脉是最常见的血栓位点 (35.3%).
- 死亡率很高 (52.6%),主要是由于恶性瘤 (82.5%),尽管复发率或肺栓塞率低.
结论:
- UEDVT经常与恶性瘤和CV导管使用共存.
- 虽然PE风险较低,但癌症患者的UEDVT预后不佳.
- 口服抗凝剂,包括直接口服抗凝剂 (DOAC),是常见的治疗方法.
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