脑外耳外科手术后患者的术后静脉血栓塞栓症:一个病例系列
Davit Mazmanyan1, Rongrong Zhu1, Juanjuan Gao2
1Department of Vascular Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, 102218, China.
Journal of otology
|December 25, 2024
概括
九名患者在耳科手术后发生静脉血栓塞栓症 (VTE),即使风险较低的得分. 手术后的症状,如头和不动,可能表明VTE的风险,需要警监测.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 血管外科 血管外科
- 血栓形成研究研究
背景情况:
- 静脉血栓栓塞 (VTE) 是手术患者的一个重大问题.
- 额外外耳科手术虽然不太常见,但仍然存在风险.
- 了解这种手术患者群体特有的风险因素对于预防至关重要.
研究的目的:
- 在脑外耳科手术后报告VTE病例.
- 为了确定在这个患者群体中导致VTE的潜在风险因素.
- 强调需要提高意识和预防措施的必要性.
主要方法:
- 一个案例系列设计被用于一个单一的高等水平的学术中心.
- 在2018年1月至2020年12月期间,确定了9名成年患者在脑外耳科手术后发展出VTE.
- 分析了卡普里尼风险评分和全面的临床数据 (手术前,手术后和早期术后).
主要成果:
- 九名患者中有七名 (77.8%) 患有肌内静脉血栓症;一个患有深静脉血栓症,一个患有肺栓塞.
- 大多数患者手术前卡普里尼风险分数低或中等 (平均2.67分).
- 手术后的D-二次体水平显著增加,/头和不运动等症状很常见.
结论:
- 接受耳部外科手术的患者,即使最初具有低至中度VTE风险的患者,也需要对术后VTE保持警.
- 手术后的头,头或必要的床上休息可能是VTE的轻微风险因素.
- 建议进行外科手术期间的评估,包括卡普里尼分数,D-二次数和静脉超声波.
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