Abstract:

Treatment of lower extremity deep venous thrombosis：Guideline and practice        WANG Shen-ming, WU Ri-dong.
Department of Vascular Surgery, the First Affiliated Hospital of Sun Yat-sen University，Guangzhou510080，China
Corresponding author：WANG Shen-ming, E-mail：wshenm@mail.sysu.edu.cn
Abstract    Deep venous thrombosis (DVT) is a common and serious disease，which is usually secondary to surgery，delivery，tumor and other risk factors. The incidence of DVT is increasing year by year. If not be treated in time，it will casuse a series of complications，which may serisouly affect the quality of life. Pulmonary embolism and post-thrombotic syndrome are relatively serious complications. Therefore，surgeons must pay more attention to the early and standard treatment of DVT. At present，there are some guidelines on the treatment of DVT，which can standardize the clinical treatment. Most commonly used methods are anticoagulation (low molecular weight heparin，Rivaroxaban，etc.)，systemic thrombolysis，catheter-directed thrombolysis，pharmacomechanical catheter-directed thrombolysis and elastic compression stockings and so on. The reasonable choice of the methods will improve the prognosis and raise the quality of life.

Key words: deep vein thrombosis(DVT)；post-thrombotic syndrome；pulmonary embolism; , therapy guideline

摘要：

深静脉血栓形成是一种常见的、严重的疾病，多继发于手术、分娩、肿瘤等危险因素，发病率呈逐年上升趋势。若得不到及时治疗，将会发生一系列并发症，影响病人生活质量甚至危及生命。其中，最为严重的是深静脉血栓形成后综合征及肺栓塞。因此，必须重视深静脉血栓形成的早期、规范治疗。目前，国内外均有关于深静脉血栓形成的治疗指南，这些指南可以指导临床对深静脉血栓形成病人进行规范化治疗。常用的治疗方法有抗凝（低分子肝素、利伐沙班等）、系统性溶栓、置管溶栓、血栓机械性清除术以及弹力袜治疗等。这些方法的合理选择，将会提高深静脉血栓形成的治疗效果，改善病人的生活质量。

关键词: 深静脉血栓形成, 深静脉血栓形成后综合征, 肺栓塞, 治疗指南