中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (12): 989-991.

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重视腹部外科手术后下肢深静脉血栓形成和肺栓塞的防治

姜洪池,朱化强   

  1. 哈尔滨医科大学附属第一医院普外科,黑龙江哈尔滨 150001
  • 出版日期:2010-12-01 发布日期:2010-11-25

  • Online:2010-12-01 Published:2010-11-25

摘要:

肺栓塞是下肢深静脉血栓形成最严重的并发症,对部分病人而言是一种隐匿性威胁。腹部外科手术后下肢深静脉血栓形成和肺栓塞并不少见,应该引起临床医生的足够重视。应建立以“防”为主的观念,对具有危险因素的病人采取积极的预防措施。同时临床医生应熟悉下肢深静脉血栓形成和肺栓塞的早期临床表现,结合病史和易患因素综合分析,提高警惕,及时诊断,减少误诊和漏诊。一旦明确诊断,则应积极采取各种有效措施进行合理治疗,将快速康复外科的理念应用于治疗过程中,争取达到更快更好的恢复。

关键词: 深静脉血栓形成, 肺栓塞, 腹部外科

Abstract:

Pay attention to the prevention and treatment of deep evenous thrombosis of lower limbs and pulmonary thromboembolism in patients after abdominal surgery            JIANG Hong-chi,ZHU Hua-qiang. Department of General Surgery,the First Affiliated Hospital of  Harbin Medical University, Harbin 150001,China
Corresponding author :ZHU Hua-qiang,E-mail: zhuhuaqiang @ yahoo. cn
Abstract    Pulmonary thromboembolism is the most serious complication of deep venous thrombosis of lower limbs, which is an insidious threaten for some patients. Deep venous thrombosis of lower limbs and pulmonary thromboembolism are not uncommon in patients after abdominal surgery. We should pay more attention to preventing deep venous thrombosis and pulmonary thromboembolism. Furthermore, clinicians should be familiar with the clinical manifestations, and comprehensively analyze the medical history and risk factors to make a timely diagnosis. Misdiagnosis and missed diagnosis should be minimized. Once the diagnosis is confirmed, the concept of fast track surgery should be adopted and various effective measures and reasonable treatment should be applied to achieve faster and better recovery.

Key words: deep venous thrombosis, pulmonary thromboembolism, abdominal surgery