在接受后腰椎关节位治疗的患者中预防血栓事件:我们的经验. 一个回顾性的案例研究系列研究
M Desviat Ruiz1, P Jordà Gómez1, K Ramón López1
1Cirugía Ortopédica y Traumatología, Hospital General Universitario de Castellón.
概括
这项研究建议在脊椎后部手术中预防静脉血栓栓塞 (VTE) 的方案. 虽然VTE很少见,但它可能是严重的;这种方法旨在减少并发症和外围膜出血瘤风险.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 整形外科手术 整形外科手术
背景情况:
- 在脊椎外科手术中对外科手术期间静脉血栓栓塞 (VTE) 预防缺乏共识.
- 虽然VTE并不常见,但会带来重大风险和并发症.
- 在脊柱后部手术中制定VTE预防指南至关重要.
研究的目的:
- 在脊柱后部手术中提出预防血栓事件 (深静脉血栓和肺血栓栓塞) 的指导方针.
- 通过优化预防来减少静脉动脉瘤和潜在的外周血瘤的发生率.
主要方法:
- 一项对235名接受后脊椎关节切除的患者的回顾性研究.
- 所有患者都接受了机械血栓预防 (压缩).
- 根据个人血栓形成风险因素,给予抗凝药物.
主要成果:
- 153名患者符合纳入标准;发生了4例血栓事件 (1例DVT,3例PE).
- 三名肺血栓塞栓症 (PE) 患者死亡.
- 没有统计学上显著的变量预测了血栓事件;所有受影响的患者都接受了抗凝药.
结论:
- 拟议的协议在研究群体中实现了充分预防血栓栓塞事件.
- 这些发现表明,需要仔细考虑在脊柱后部手术中对VTE预防中使用抗凝剂.
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