在腹腔修复后的静脉血栓塞栓症与横腹部释放
Kimberly P Woo1, Sergio Mazzola Poli de Figueiredo2, Sarah L Larson2,3
1Department of General Surgery, Digestive Disease Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA. wook2@ccf.org.
Surgical endoscopy
|July 31, 2025
概括
主要腹壁重建患者面临显著的静脉血栓塞栓症 (VTE) 风险,包括肺栓塞和深静脉血栓,即使在出院后. 需要进一步的研究来优化这种高风险群体的抗凝策略.
科学领域:
- 外科手术的结果
- 血管外科 血管外科
- 患者安全 患者安全
背景情况:
- 静脉血栓塞栓症 (VTE),包括肺栓塞 (PE) 和深静脉血栓症 (DVT),是主要的腹壁重建后的发病率和死亡率的主要原因.
- 这项研究重点关注在接受腹修复 (VHR) 与腹部横向释放 (TAR) 的患者中VTE的发生率.
研究的目的:
- 为了确定VTE事件的发生率在接受VHR和ART的患者中.
- 分析与VTE相关的时间,管理和并发症. 在这个患者队列中.
主要方法:
- 在2014年8月至2023年12月期间,使用腹腔核心健康质量协作注册表对3555名18岁以上患者进行了VHR与TAR的回顾性审查.
- 从注册表中提取了患者数据和手术细节,并通过电子病历审查了结果.
- 主要结局是手术后8周内静脉突发症 (PE和DVT) 的发生率;次要结局包括静脉突发症的时间,化学预防方案,管理和并发症.
主要成果:
- 总共有3555名患者被纳入,其中100名 (2.8%) 经历了VTE事件 (58名PE,42名DVT).
- 静脉动脉突发症的中位时间为手术后7天,27%发生在医院出院后.
- 在88名患者中,VTE管理涉及全身抗凝药,而18.1%的患者经历了出血并发症.
结论:
- 接受主要腹壁重建的患者表现出高风险的VTE,延伸超出医院出院.
- 对这种人群中VTE风险因素的进一步调查对于完善外科手术期间的抗凝策略至关重要.
相关概念视频
Venous Thrombosis I: Introduction
41
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
41
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
37
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
37
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Varicose Veins II: Diagnostic Studies and Interprofessional Care
31
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
31
Veins of the Abdomen and Pelvis
958
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
958
Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25


