关键词: 围手术期, 下肢深静脉血栓形成, 高危因素, 腔静脉滤器, 经皮血栓机械清除术

Abstract: Risk factors and progress in diagnosis and treatment of surgical inpatients complicated with lower extremity deep vein thrombosis        GUO Wen-cheng*, YU Bo, SHI Wei-hao.*Department of Vascular Surgery, Huashan Hospital Affiliated to Fudan University, Shanghai 200040,China
Corresponding author: SHI Wei-hao,E-mail:vascular741021@163.com
Abstract    Surgical inpatients should be combined with caprini score to comprehensively evaluate the high risk factors of lower extremity deep vein thrombosis (LEDVT) and guide the prevention of perioperative LEDVT. The timely diagnosis of LEDVT in perioperative period depends on repeated dynamic observation and evaluation. Anticoagulant therapy is still the first choice of basic treatment, but clinicians need to pay attention to the risk assessment of bleeding. The indication of vena cava filter should be strictly controlled and the recovery rate should be paid attention to. Catheter directed thrombolysis is of great significance in the prevention of post-thrombosis syndrome, but it will increase the risk of bleeding. All kinds of percutaneous mechanic thrombectomy still need further study to clarify its clinical application value.

Key words: perioperative period, lower extremity deep vein thrombosis, high risk factor, vena cava filter, percutaneous mechanic thrombectomy