Abstract:

Controversy and consensus on the diagnosis and treatment of Perioperative venous thromboembolism diseases        FU Wei-guo, WANG Li-xin. DepartmentofVascularSurgery,ZhongshanHospital, Fudan University, Shanghai 200032, China
Corresponding author： FU Wei-guo， E-mail： fu.weiguo@zs-hospital.sh.cn
Abstract    Venous thromboembolism mainly refers to deep vein thrombosis and pulmonary embolism, is an important perioperative complications, seriously impair the outcome of surgery. There is always a lot of controversy on the diagnosis and treatment of perioperative venous thromboembolism. These include: the diagnostic value and reasonable application of D-dimer and ultrasonography; the selection, timing of administration and duration of treatment of anticoagulation; the indication of filter placement and thrombolytic therapy. More evidence-based medical data constantly amends previous diagnosis and treatment strategies, updated physicians’ diagnosis and treatment perspective. ACCP guideline has been playing a pivotal role in guiding the diagnosis and treatment on the perioperative thromboembolism.

Key words: deep vein thrombosis, pulmonary artery embolism, venous thromboembolism; , anticoagulation, thrombolysis, filter

摘要：

静脉血栓栓塞疾病主要是指深静脉血栓和肺动脉栓塞，是围手术期的重要并发症，严重影响手术的结果。对于围手术期静脉血栓疾病的诊断和治疗一直存在不少争议，包括D-二聚体、彩超的诊断价值与合理应用；抗凝药物的选择、给药时机与持续时间；滤器植入和溶栓治疗的指征等问题。更多的循证医学数据不断地修正既往的诊治策略、更新临床医生的诊治观点。美国胸科医师学会（ACCP）指南在指导围手术期血栓栓塞性疾病的诊治中一直起着举足轻重的作用。

关键词: 深静脉血栓, 肺动脉栓塞, 静脉血栓栓塞, 抗凝, 溶栓, 滤器