心血管外科手术后静脉血栓栓塞的发生率
Masato Saitoh1, Takemi Kudo2, Takao Watanabe2
1Department of Cardiovascular Surgery, Ayase Heart Hospital, Tokyo, Japan.
Asian cardiovascular & thoracic annals
|April 13, 2024
概括
在日本,心血管手术后深静脉血栓症 (DVT) 的发生率为7.3%. 血液输血被确定为这些患者DVT发展的重要预测因子.
科学领域:
- 心血管外科心血管外科
- 血管医学 血管医学
- 血栓栓塞瘤研究研究
背景情况:
- 肺血栓塞栓症 (PTE) 是一种严重的术后并发症,通常源于深静脉血栓症 (DVT).
- 在日本进行心血管手术后,DVT和PTE的患病率仍未得到充分研究.
- 这项研究旨在确定在接受心血管手术的日本患者中DVT和PTE的发病率.
研究的目的:
- 在日本进行心血管手术的患者中调查深静脉血栓症 (DVT) 的发生率.
- 为了确定与心血管外科手术后DVT发展相关的风险因素.
主要方法:
- 来自四家日本医院的225名心血管手术患者的队列参与了这项研究.
- 下肢静脉超声波用于手术前和手术后的DVT评估.
- 为了进行比较分析,患者被分为DVT和非DVT组.
主要成果:
- 在218名符合条件的患者中,7.3%患有深静脉血栓症 (DVT);没有观察到肺血栓栓塞 (PTE) 的病例.
- 与非DVT组相比,DVT组的总输血量显著更高 (61.2 ± 49.9 IU与27.7 ± 30.2 IU,p=0.018).
- 多变量逻辑回归确定输血是术后DVT的显著预测因素 (OR 1.034,p=0.005).
结论:
- 在这个日本队列中,心血管手术后术后深静脉血栓症 (DVT) 的发生率为7.3%.
- 输血成为心血管外科手术后发生DVT的关键独立风险因素.
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