术前无症状深静脉血栓的患病率在接受针对良性疾病的选择性整体手术的患者中
Ken Hagiwara1, Yutaka Watanabe2, Takeki Suzuki3
1Division of Digestive Surgery, Department of Surgery Nihon University School of Medicine Tokyo Japan.
Annals of gastroenterological surgery
|November 6, 2023
概括
手术前深静脉血栓塞 (DVT) 影响10.6%的整体外科患者. 高龄,女性性别和低血红蛋白是关键的危险因素,而不是恶性疾病.
科学领域:
- 血管外科 血管外科
- 在瘤学瘤学.
- 血液学 血液学 血液学
背景情况:
- 手术或恶性瘤引起的全身炎症会导致高凝血状态,癌症患者需要进行血栓预防治疗.
- 关于手术前深静脉血栓 (DVT) 患病率和手术候选人的风险因素,特别是良性疾病的数据有限.
研究的目的:
- 为了确定预手术无症状DVT在选择性整体外科患者的患病率.
- 为了确定与手术前DVT相关的临床风险因素.
主要方法:
- 从2011年1月到2020年9月,对1512名从2011年1月到2020年9月接受选择性全科手术的患者进行了回顾性观察研究.
- 下肢静脉超声波用于手术前的DVT查.
- 评估DVT与临床变量之间的关联.
主要成果:
- 10.6%的患者 (161/1512) 在手术前有无症状的DVT.
- 恶性疾病患者的DVT患病率为13.7%,良性疾病患者的患病率为8.6%.
- 高龄 (>70岁),女性性别和血红蛋白降低是DVT的独立风险因素. 恶性疾病不是一个独立的风险因素.
结论:
- 在手术前无症状的DVT患病率在接受选择性整体手术的患有和没有恶性疾病的患者中是相似的.
- 对于所有手术候选人来说,手术前的DVT查是必不可少的,特别是那些具有已确定的风险因素的人.
- 对于DVT的风险分层应该考虑年龄,性别和血红蛋白水平.
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
Venous Thrombosis I: Introduction
11
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...
11
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
12
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...
12
Peripheral Artery Disease V: Postoperative Nursing Management
11
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
11
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
Varicose Veins II: Diagnostic Studies and Interprofessional Care
14
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
14


