Perioperative assessment and prophylaxis of venous thromboembolism in gynecological surgery.

doi:10.7504/fk2014100106

Abstract

Abstract:

Abstract: Venous thromboembolism (VTE) is a severe perioperative complication in gynecological surgery, and is a significant cause of mortality in hospitalized patients. Scientific clinical evaluation for risk factors, risk stratification, and optimal use of prophylactic resource，both mechanical and pharmacological，can prevent the development of VTE.

Key words: venous thromboembolism, perioperative assessment, perioperative prophylaxis

摘要：

静脉血栓栓塞症（venous thromboembolism, VTE）是妇产科围手术期严重的并发症，是导致围手术期患者死亡的重要原因之一。围手术期对患者进行VTE发生危险评估、分级，并根据科学评估后的危险分级采取正确的预防措施，包括物理治疗及药物预防，对于降低VTE的发生风险具有重要的意义。

关键词: 静脉血栓栓塞症, 围手术期评估, 围手术期预防

CLC Number:

R713
R543.6

LIU Qi-fang，WANG Dan-bo.. Perioperative assessment and prophylaxis of venous thromboembolism in gynecological surgery.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2014100106.

刘琦芳，王丹波. 妇科手术中静脉血栓栓塞症的围手术期评估与预防[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2014100106.

References

［1］   Heit JA，Cohen AT，Anderson FA．Estimated annual number of incidence and recurrent，non-fatal and fatal venous thromboembolism (VTE) events in the US［J］．Blood，2005，106：267A．

［2］    Martinez C，Cohen AT，Bamber L，et al．Epidemiology of first and recurrent venous thromboembolism：a population-based cohort study in patients without active cancer［J］．Thromb Haemost，2014，112(2)：255-263．

［3］    Stein PD，Matta F．Acute pulmonary embolism［J］．Curr Probl Cardiol，2010，35(7)：314-376．

［4］   Geerts WH，Bergqvist D，Pineo GF，et al．Prevention of venous thromboembolism：American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8thEdition)［J］．Chest，2008，133(6 suppl)：381S-453S．

［5］   Clarke-Pearson DL，Abaid LN．Prevention of venous thromboembolic events after gynecologic surgery［J］．Obstet Gynecol，2012，119(1)：155-167．

［6］    Bahl V，Hu HM，Henke PK，et al．A validation study of a retrospective venous thromboembolism risk scoring method［J］．Ann Surg，2010，251：344-350．

［7］   Committee on Practice Bulletins-Gynecology，American College of Obstetricians and Gynecologists．ACOG Practice Bulletin No.84.Prevention of deep vein thrombosis and pulmonary embolism［J］．Obstet Gynecol，2007，110(2 Pt 1)：429-440．

［8］    Ginzburg E，Cohn SM，Lopez J，et al．Randomized clinical trial of intermittent pneumatic compression and low molecular weight heparin in trauma．Miami Deep Vein Thrombosis Study Group［J］．Br J Surg，2003，90：1338-1344．

［9］    Hull RD，Pineo GF，Stein PD，et al．Timing of initial administration of low-molecular-weight heparin prophylaxis against deep vein thrombosis in patients following elective hip arthroplasty：a systematic review［J］．Arch Intern Med，2001，161(16)：1952-1960．

［10］    Raskob GE，Hirsh J．Controversies in timing of the first dose of anticoagulant prophylaxis against venous thromboembolism after major orthopedic surgery［J］．Chest，2003，124(suppl)：379S-385S．

（2014-07-10收稿    2014-08-10修回）

[1]	. [J]. Acta Metallurgica Sinica, 2021, 37(2): 208-210.
[2]	SHI Hui-rong，LI Xue-ru. Menopause hormone therapy and arteriovenous thromboembolism diseases. [J]. Acta Metallurgica Sinica, 2020, 36(3): 224-227.
[3]	. [J]. Acta Metallurgica Sinica, 2018, 34(7): 705-708.
[4]	CHE Yan. A review of the incidence of venous thromboembolism among gynecological and obstetrical patients in China. [J]. Acta Metallurgica Sinica, 2018, 34(7): 709-713.
[5]	DI Wen，WU Jia-yue. Risk factors of venous thromboembolism in obstetric and gynecological department. [J]. Acta Metallurgica Sinica, 2018, 34(7): 714-717.
[6]	QU Hong，ZHANG Zhen-yu. Prevention of venous thromboembolism in gynecological surgery. [J]. Acta Metallurgica Sinica, 2018, 34(7): 717-720.
[7]	XU Lang，ZHAO Jian-mei. Standardized management of venous thromboembolism in hospital. [J]. Acta Metallurgica Sinica, 2018, 34(7): 733-735.
[8]	FENG Wei-wei. Diagnosis and treatment of extra-uterus intravenous leiomyomatosis. [J]. Acta Metallurgica Sinica, 2018, 34(7): 735-738.
[9]	GU Wei-rong，LI Xiao-tian. Venous thromboembolic disease in pregnancy：treatment，prevention and practice in China. [J]. Acta Metallurgica Sinica, 2017, 33(6): 578-584.