泌尿外科手术中的程序特异性血栓预防:叙述性审查
Behnam Shakiba1, Ali Faegh2, Sepideh Emami3
1Department of Urology, Firoozgar Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. behkiba@gmail.com.
Urology journal
|January 24, 2024
概括
这项研究审查了泌尿外科手术的血栓预防,并根据患者的风险和手术类型推了定制的策略,以预防肺栓塞. 最佳的方案是平衡静脉血栓塞栓症预防与出血风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 心血管外科心血管外科
- 血栓形成研究研究
背景情况:
- 手术后肺栓塞是主要泌尿外科手术后死亡的主要原因.
- 平衡静脉血栓栓塞 (VTE) 风险和出血是一个重大挑战.
研究的目的:
- 检查有关泌尿器科手术中血栓预防的现有证据.
- 专注于VTE预防的具体程序考虑.
主要方法:
- 在过去的十年里,在泌尿外科手术中对血栓预防的文献综述.
主要成果:
- 机械方法 (压缩,气动装置) 和药物剂 (未分离的肝素,低分子量肝素) 是关键的VTE预防措施.
- 基于患者因素 (年龄,BMI,VTE病史) 的风险分层 (低,中,高) 引导策略选择.
- 泌尿瘤手术带有更高的VTE风险,通常需要联合药理和机械预防;非瘤手术可能会对高风险患者使用药理预防.
结论:
- 总结了一个最佳的血栓预防方案.
- 协议考虑了患者的风险因素和特定的泌尿外科手术,以尽量减少VTE和出血风险.
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