在外科手术期间的静脉血栓塞栓症在骨科创伤中的预防:一篇实用性审查
Brent Emigh1, Audrea Bose2, Andrew Stephen1
1Division of Trauma and Surgical Critical Care, The Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island.
Rhode Island medical journal (2013)
|January 29, 2025
概括
骨科创伤患者经常有静脉血栓栓塞 (VTE) 预防在手术期间停止. 然而,持续预防可能是安全的,并减少患者的伤害,因为证据不支持中断.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 药理学 药理学是指药理学的学科.
背景情况:
- 骨科创伤患者面临高风险的静脉血栓栓塞 (VTE) 并发症.
- 由于担心外科手术出血,外科手术期间的VTE预防经常被保留.
- 本综述检查了当前的指导方针和证据,关于在这个患者群体中断预防性抗凝剂.
研究的目的:
- 审查关于在骨科创伤患者中预防性抗凝药的术前暂停的指导方针和研究.
- 评估在手术前继续或中断静脉瘤预防的风险和益处.
主要方法:
- 进行了叙事审查.
- 使用PubMed进行了系统的文献搜索.
- 搜索术语包括"静脉血栓栓塞","创伤"",骨科手术"和"预防".
主要成果:
- 西部创伤协会建议对大多数骨科创伤手术进行不间断的静脉瘤预防.
- 大型创伤和骨科协会提供有限的具体建议.
- 新兴研究表明,持续进行静脉瘤预防并不会增加显著出血的风险.
结论:
- 缺乏强有力的证据和共识,支持在骨科创伤手术中断静脉瘤预防.
- 在外科手术期间继续进行静脉瘤预防可能是一个安全的策略.
- 继续进行静脉瘤预防可能会降低患者的发病率.
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