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Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
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在下肢截肢手术中进行血栓预防.

Monique Magnavita Borba da Fonseca Cerqueira1, Marcos Arêas Marques2,3, Alcides José Araújo Ribeiro4

  • 1Universidade do Estado da Bahia - UNEB, Salvador, BA, Brasil.

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概括

巴西的下肢截肢手术的药理性血栓预防实践是多样化的. 许多外科医生对血栓风险进行分层,但不对出血风险进行分层,这表明需要标准化指导方针.

关键词:
截肢是一种截肢.深静脉血栓形成的原因是深静脉血栓形成.医疗服务研究 医疗服务研究患者安全 患者安全预防 预防 预防 预防肺栓塞 肺栓塞是一种肺栓塞.

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科学领域:

  • 血管外科 血管外科
  • 进行血栓预防治疗.
  • 静脉血栓塞栓症是一种静脉血栓塞栓症.

背景情况:

  • 下肢截肢手术带有静脉血栓塞栓症 (VTE) 的重大风险.
  • 目前的证据表明,在接受这种手术的患者中,药理性血栓预防疗法未得到充分利用.

研究的目的:

  • 描述巴西血管外科医生在下肢截肢的外科手术期间的血栓预防实践.
  • 分析目前在这个手术群体中对静脉瘤预防的方法.

主要方法:

  • 与巴西的血管科医生和血管外科医生进行了一项横截式的描述性研究.
  • 数据是在2023年2月至6月期间通过电子问卷收集的.

主要成果:

  • 237名外科医生做出了反应,58.6%的分层血栓风险,主要使用卡普里尼得分 (86.3%).
  • 只有27%的人评估出血风险. 低分子量肝素是首选的药物 (85.7%),通常是每天40 IU.
  • 超过一半的患者 (51.15%) 处方了预防措施,直到出院,在额外使用抗凝剂方面存在异质性.

结论:

  • 关于下肢截肢的药理性血栓预防的实践是多样化的.
  • 需要进一步的研究,以建立基于证据的指导方针,以预防这种患者群体的VTE.