摘要
目的:探讨重症监护病房(Intensive care unit,ICU)深静脉血栓形成(Deep venous thrombosis,DVT)的发病率、发病原因、监测方法、治疗及预后,为ICU内DVT的防治提供依据。方法:回顾性分析该院中心ICU32例DVT患者的临床资料。结果:该院ICU内DVT发病率为4.7%(32/681),本组中DVT发病率前三位病因分别为急性重症胰腺炎(46.9%,15/32)、多发伤(28.1%,9/32)、高血压脑出血(12.5%,14/32)。常见危险因素为深静脉置管、长期卧床、血液高凝状态等。经抬高患肢,抗凝和溶栓治疗7～14天30例治愈,占93.8%(30/32)。仅1例并发肺栓塞,占3.1%(1/32),无病例死亡。结论:ICU危重病人是DVT高发人群,病因多样。对高危病人应密切注意防治血管性并发症。D-二聚体、血小板变化、下肢及盆腔深静脉彩色多普勒超声动态检查是有效的监测手段。早发现、早期积极抗凝溶栓治疗是救治关键。
Objective： To investigate the deep venous thrombosis in ICU,including its morbidity rate, causes, monitoring , therapy and prognosis. Methocls：A clinical retrospective analysis was carried out to investigate 32 patients with deep venous thrombosis in ICU. Results：The morbidity of deep venous thrombosis in ICU was 4.7 percent （32/581 ）, and the top three causes were severe acute pancreatitis （46.9 percent, 15/32 ）, multiple injuries （28.1 percent, 9/32 ）, hypertensive cerebral hemorrhage （ 12.5 percent, 4/32 ） in the investigated 32 cases. Factors significantly inducing deep venous thrombosis were deep venous catheter or bedridden or blood hypercoagulability. 30 patients, accounting for 93.8 percent（ 30/32 ） were cured after the treatment of lifting sickness limbs, and anticoagulation and thrombolysis 7 to 14 days. Only one patient was complicated by pulmonary embolism, but no one died. Conclusion：Deep venous thrombosis occurred for multiple causes. The serious patients in ICU were highly dangerous for it. We shou｜d pay attention to the high-risk people to avoid vascular complications. The d-dimmer detection, platelet count and deep venous color Doppler inspection were the effective ways to monitor it. The key to cure deep venous thrombosis was early finding and early treatment with anticoagulation and thrombolysis.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2009年第4期509-511,共3页
Journal of Chongqing Medical University
关键词
深静脉血栓形成
重症监护室
Deep venous thrombosis
Intensive Care Unit
