在接受紧急腹腔切除术的患者中,术后深静脉血栓的患病率:一项前性观察研究
Preeti Acharya1, Sudhir K Singh1, Summi Karn1
1General Surgery, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND.
Cureus
|August 19, 2024
概括
深静脉血栓 (DVT) 是紧急探索性腹腔切除术后的罕见并发症,仅发生在0.68%的患者中. 这表明紧急腹腔切除术本身可能是发展DVT的危险因素.
科学领域:
- 血管外科 血管外科
- 血栓形成研究研究
- 患者安全 患者安全
背景情况:
- 深静脉血栓 (DVT) 是住院患者的一个重大问题,手术是已知的危险因素.
- 虽然大手术后的DVT发生率已有记录,但关于紧急手术,特别是腹腔切除术的数据仍然有限.
研究的目的:
- 在接受紧急探索性腹腔切除术的患者中确定术后深静脉血栓 (DVT) 的患病率.
- 调查紧急腹腔切除术作为潜在的DVT的独立风险因素.
主要方法:
- 一项在18个月内 (2021年1月 - 2022年7月) 进行的前性观察研究.
- 包括接受紧急探索性腹腔切除术的患者,以及手术前的双重超声检查,以排除现有的DVT.
- 连续的术后双重超声波,直到第七天,以检测新发的DVT.
主要成果:
- 在146名患者中,只有1名 (0.68%) 患有术后DVT.
- 唯一患有DVT的患者是60岁,已知风险因素,但没有其他已知的风险因素.
- 在研究队列中没有进行常规的药理学预防.
结论:
- 紧急探索性腹腔切除术可能代表深静脉血栓形成的独立风险因素.
- 低发病率表明需要进一步的大规模前性研究来证实这些发现,并为预防指导方针提供信息.
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