Abstract:

Prevention and treatment of deep venous thrombosis in the lower extremity during perioperative period of abdominal surgery        WU Dan-ming，ZHANG Li-kui. Department of Vascular Surgery，People’s Hospital of Liaoning Province，Shenyang 110016，China
Corresponding author：WU Dan-ming，E-mail：danming_w@126.com
Abstract    Deep venous thrombosis of the lower extremity is one of the common complications of abdominal surgery. Its incidence, morbidity and mortality rate are high. After abdominal surgery，patients have both patient-specific and procedure-specific risk factors. Perioperative risk stratification should be carried out，and combined with the risk of bleeding to choose the best prevention method. The treatment of DVT，including anticoagulation，thrombolysis，mechanical thrombus removal and placement of inferior vena cava filter，relies on the different conditions of different patients. In short，the prevention and treatment of DVT in lower extremity during perioperative period of abdominal surgery should be personalized.

Key words: deep venous thrombosis, abdominal surgery, perioperative period

摘要：

下肢深静脉血栓（DVT）是腹部外科围手术期的常见并发症之一，其发病率高，致残、致死率高。腹部外科术后病人存在自身特定的以及手术相关的危险因素，进行围手术期血栓预防时须进行危险因素分层，并结合病人的出血风险的高低选择最佳预防方法。而下肢DVT的治疗则根据不同病人的不同情况选择抗凝治疗、溶栓治疗、机械性血栓清除或置入下腔静脉滤器。总之，腹部外科围手术期下肢深静脉血栓防治需个体化。

关键词: 深静脉血栓, 腹部外科, 围手术期