关键词: 重症监护, 普通外科, 围手术期, 静脉血栓栓塞症, 深静脉血栓形成, 肺动脉栓塞, 风险评估

Abstract: Prevention and treatment of venous thromboembolism in perioperative patients: Thinking from the perspective of intensive care        ZHENG Yi-jun*, LUO Zhe. *Department of Critical Care Medicine, Zhongshan Hospital,  Fudan University, Shanghai  200032, China
Corresponding author：LUO Zhe, E-mail：Luo. zhe@zs-hospital.sh.cn
Abstract    The perioperative patients, especially the intensive care patients, have a variety of high-risk factors to cause thrombosis and have higher risks of venous thromboembolism (VTE) incidence. It is urgent to prevent and treat VTE in this kind of population. As for the VTE prevention and treatment, the evaluation of risks is the first key step. At present, the commonly used Caprini Model has a high sensitivity to predict the risk of VTE in perioperative patients. Combining plasma markers with Caprini model can further improve the predictive value in intensive care patients. The prevention and treatment of VTE in intensive care patients should emphasize individualization, comprehensively evaluate the risks of thrombus and hemorrhage, take the effectiveness and safety into account, and select the best strategy and the optimal dose, so as to improve the prognosis of patients.

Key words: intensive care, general surgery, perioperative period, venous thromboembolism, deep vein thrombosis, pulmonary embolism, risk assessment