在医疗重症监护中的患者中深静脉血栓的患病率
D R Hirsch1, E P Ingenito, S Z Goldhaber
1Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
JAMA
|July 26, 1995
概括
深静脉血栓 (DVT) 发生在33%的医疗重症监护室 (MICU) 患者身上,尽管进行了预防. 传统的风险因素无法预测高风险人群中DVT的发展.
科学领域:
- 关键护理医学 关键护理医学
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 深静脉血栓症 (DVT) 是严重病患者的一个重大问题.
- 在医疗重症监护室 (MICU) 确定DVT危险因素和有效的预防策略至关重要.
研究的目的:
- 为了确定入住医疗重症监护室 (MICU) 的患者内DVT的发病率.
- 评估传统的DVT风险因素对预测MICU患者DVT的有效性.
主要方法:
- 未来的超声波病例系列涉及100名符合条件的MICU患者.
- 用彩色多普勒成像进行超声波,每周两次和出院前进行.
- 纳入标准:年龄大于18岁的患者预计在MICU停留时间大于48小时.
主要成果:
- 在33%的患者中检测到DVT,近端下肢DVT在48%和上肢DVT在15%中.
- 在患有和没有DVT的患者之间,没有发现传统风险因素 (年龄,BMI,癌症,手术) 的显著差异.
- 尽管61%的人接受了DVT预防,但DVT的发病率出乎意料地高.
结论:
- 在MICU患者中,DVT的发病率高于以前所认为的.
- 传统的DVT风险因素不足以识别MICU中的高风险患者.
- 常规超声监测或加强预防可能是MICU患者的必要.
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