Abstract: Attaching importance to the normative prevention and treatment of venous thromboembolism during perioperative period of general surgery        FU Wei-guo, SHI Zhen-yu. Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai200032, China
Corresponding author: FU Wei-guo, E-mail: fu.weiguo@zs-hospital.sh.cn
Abstract    General surgical patients during perioperative period are high risky population of venous thromboembolism (VTE). Though both domestic and international medical staff have taken the VTE prevention and treatment seriously for general surgical patients during perioperative period, the occurrence of VTE events has still been observed despite prophylactic measures. The VTE evaluation and prophylaxis are not satisfactory in China. Surgeons should attach importance to the normative prevention and treatment of venous thromboembolism during perioperative period of general surgery. Normative prevention includes evaluation of VTE risk with Caprini score and bleeding risk as well as mechanic and medication prophylaxis on the basis of evaluation. Normative treatment means timely diagnosis and therapy of deep vein thrombosis(DVT) and pulmonary embolism(PE) according to guideline with the consultation of vascular surgeon and respiratory physician. Anticoagulation is the first line treatment followed by thrombolysis and endovascular intervention in accordance with the patient’s situation and risk classification. Implantation of IVC filters should strictly follow the indications.

Key words: general surgery, perioperative period, venous thromboembolism, prevention and treatment

摘要： 普通外科围手术期病人是静脉血栓栓塞症（VTE）的高发人群，近年来国内外已经日益重视普通外科围手术期VTE的预防，但是在开展预防的前提下普通外科围手术期VTE仍时有发生，目前国内围手术期的风险评估和预防实施率仍不高，因此有必要重视普通外科围手术期VTE的规范化防治。规范化预防包括采用Caprini评分进行VTE风险评估以及在此基础上结合出血评估采用相应的机械预防和药物预防措施。规范化治疗主要是请血管外科和呼吸科专科医师协助根据指南对深静脉血栓形成（DVT）和肺动脉栓塞（PE）进行及时的诊断和治疗。治疗首选抗凝，其次根据病人病情和危险分层可进行溶栓、腔内治疗。同时植入滤器应严格按照指征。

关键词: 普通外科, 围手术期, 静脉血栓栓塞症, 防治