Analysis of Risk Factors for Acute Lower Deep Venous Thrombosis in Patients_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WANGXue-gang ,  JIANGLan-shan , BAIDou , WUShao-hui , ZHANGXiao-jie

Department of Vascular Surgery, Mianyang Central Hospital, Mianyang 621000, Sichuan Province, China;

Corresponding?author：

JIANGLan-shan, Email: 422242431@qq.com

Keywords：

Venous thrombosis; Risk factor; Prophylaxis

DOI：

10.7507/1007-9424.20140302

Video：

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Objective To investigate the risk factors for lower limbs deep venous thrombosis(LDVT), and provide reference for the prevention and treatment of LDVT. Methods The pathogenic factors of 187 patients with LDVT in our hospital from 2010 to 2013 were retrospectively analyzed. Results One hundred and eighty-seven patients with LDVT were 19-88 years old, mean 56.6 years old, and the age of onset was many in the 41-60 years old(65.2%). In 187 cases, male 102 cases, female 85 cases; left lower extremity in 112 cases, right lower extremity in 65 cases, and 10 cases of double lower limbs. LDVT predisposing factors were the lower extremities a history of fracture, surgery, tumor, bedridden, previous history of blood clots, and a small amount of internal diseases of unknown cause. Conclusions LDVT occurs at 41-60 years old. The surgery, tumor, and history of thrombosis are independent risk factor of LDVT.

Citation： WANGXue-gang, JIANGLan-shan, BAIDou, WUShao-hui, ZHANGXiao-jie. Analysis of Risk Factors for Acute Lower Deep Venous Thrombosis in Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(10): 1264-1267. doi: 10.7507/1007-9424.20140302 Copy

1.	韋艷芬.下肢深靜脈血栓形成的診斷與治療[J].醫學綜述, 2008, 14(3):390-392.
2.	賈奇柯, 孔瑞澤, 張承磊, 等.靜脈血栓栓塞癥的流行病學[J].中國血管外科雜志:電子版, 2013, 5(1):62-64.
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4.	中華醫學會外科學分會血管外科學組.深靜脈血栓形成的診斷和治療指南(第2版)[J].中國血管外科雜志:電子版, 2013, 5(1):23-26.
5.	李俊來, 宋陽光, 唐杰.提高下肢靜脈血栓超聲診斷水平的對策[J].中華醫學超聲雜志, 2009, 6(10):6-9.
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8.	孫幸, 顧健, 倪軍, 等. 140例下肢深靜脈血栓形成臨床多因素分析[J].血栓與止血, 2013, 19(3):107-109.
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10.	李娟, 李俊來, 劉小平, 等.下肢深靜脈血栓高危因素分析[J].感染、炎癥、修復, 2012, 13(4):215-217.
11.	Timothy K, Liem MD, Thanh M, et al. Symptomatic perioperative venous thromboembolism is a frequent complication in patients with a history of deep vein thrombosis[J]. J Vasc Surg, 2010, 53(3):651-657.
12.	汪忠鎬, 董建德.經濟艙綜合征[J].中國現代普通外科進展, 2008, 11(1):1-3.
13.	Ay C, Pabinger I. Treatment and secondary prevention of venous thromboembolism in cancer patients. Current strategies and new therapeutic options[J]. Hamostaseologie, 2012, 32(2):139-144.
14.	Holbrook A, Schulman S, Witt DM, et a1. Evidence-based management of anticoagulant therapy:Antithrombotic Therapy and Prevention of Thrombosis, 9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J]. Chest, 2012, 141(2 Suppl):e152S-e184S.
15.	嚴贅琦, 張皓, 張柏根.抗凝溶栓治療對急性下肢深靜脈血栓形成預后的影響[J].中華外科雜志, 2011, 49(6):495-499.
16.	李玉民.下肢深靜脈血栓形成的診治認識[J].中華中西醫雜志, 2006, 7(23):2142-2144.
17.	張文廣, 李震, 韓新巍.經導管接觸溶栓與單純靜脈藥物溶栓治療下肢深靜脈血栓的對比分析[J].中國普外基礎與臨床雜志, 2012, 19(11):1171-1174.
18.	Baekgaard N, Klitfod L, Broholm R. Safety and efficacy of catheter-directed thrombolysis[J]. Phlebology, 2012, 27(5):149-154.
19.	劉芳, 呂平, 金畢.急性深靜脈血栓的導管溶栓治療[J].中華普通外科雜志, 2010, 25(3):257-259.
20.	中華醫學會放射學分會介入學組.下肢深靜脈血栓形成介入治療規范的專家共識[J].中華放射學雜志, 2011, 45(3):293-296.
21.	汪忠鎬, 李震.深靜脈血栓治療的商榷[J].中國普外基礎與臨床雜志, 2012, 19(11):1149-1151.
22.	丁紅艷.下肢深靜脈血栓形成研究進展[J].中國城鄉企業衛生, 2009, 6(3):29-30.

1. 韋艷芬.下肢深靜脈血栓形成的診斷與治療[J].醫學綜述, 2008, 14(3):390-392.
2. 賈奇柯, 孔瑞澤, 張承磊, 等.靜脈血栓栓塞癥的流行病學[J].中國血管外科雜志:電子版, 2013, 5(1):62-64.
3. Stein PD, Matta F, Musani MH, et a1. Silent pulmonary embo-lism in patients with deep venous thrombosis:a systematic review[J]. Am J Med, 2010, 123(5):426-431.
4. 中華醫學會外科學分會血管外科學組.深靜脈血栓形成的診斷和治療指南(第2版)[J].中國血管外科雜志:電子版, 2013, 5(1):23-26.
5. 李俊來, 宋陽光, 唐杰.提高下肢靜脈血栓超聲診斷水平的對策[J].中華醫學超聲雜志, 2009, 6(10):6-9.
6. 劉衛星, 高永艷, 李艷秋.彩色多普勒超聲檢測下肢深靜脈血栓的探討[J].解放軍醫學雜志, 2003, 28(8):737-738.
7. 張柏根, 薛冠華.深靜脈血栓形成的病因及高危因素[J].中國實用外科雜志, 2003, 23(4):197-200.
8. 孫幸, 顧健, 倪軍, 等. 140例下肢深靜脈血栓形成臨床多因素分析[J].血栓與止血, 2013, 19(3):107-109.
9. Prandoni P. Acquired risk factors of venous thromboembolism in medical patients[J]. Pathophysiol Haemost Thromb, 2006, 35(1-2):128-132.
10. 李娟, 李俊來, 劉小平, 等.下肢深靜脈血栓高危因素分析[J].感染、炎癥、修復, 2012, 13(4):215-217.
11. Timothy K, Liem MD, Thanh M, et al. Symptomatic perioperative venous thromboembolism is a frequent complication in patients with a history of deep vein thrombosis[J]. J Vasc Surg, 2010, 53(3):651-657.
12. 汪忠鎬, 董建德.經濟艙綜合征[J].中國現代普通外科進展, 2008, 11(1):1-3.
13. Ay C, Pabinger I. Treatment and secondary prevention of venous thromboembolism in cancer patients. Current strategies and new therapeutic options[J]. Hamostaseologie, 2012, 32(2):139-144.
14. Holbrook A, Schulman S, Witt DM, et a1. Evidence-based management of anticoagulant therapy:Antithrombotic Therapy and Prevention of Thrombosis, 9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J]. Chest, 2012, 141(2 Suppl):e152S-e184S.
15. 嚴贅琦, 張皓, 張柏根.抗凝溶栓治療對急性下肢深靜脈血栓形成預后的影響[J].中華外科雜志, 2011, 49(6):495-499.
16. 李玉民.下肢深靜脈血栓形成的診治認識[J].中華中西醫雜志, 2006, 7(23):2142-2144.
17. 張文廣, 李震, 韓新巍.經導管接觸溶栓與單純靜脈藥物溶栓治療下肢深靜脈血栓的對比分析[J].中國普外基礎與臨床雜志, 2012, 19(11):1171-1174.
18. Baekgaard N, Klitfod L, Broholm R. Safety and efficacy of catheter-directed thrombolysis[J]. Phlebology, 2012, 27(5):149-154.
19. 劉芳, 呂平, 金畢.急性深靜脈血栓的導管溶栓治療[J].中華普通外科雜志, 2010, 25(3):257-259.
20. 中華醫學會放射學分會介入學組.下肢深靜脈血栓形成介入治療規范的專家共識[J].中華放射學雜志, 2011, 45(3):293-296.
21. 汪忠鎬, 李震.深靜脈血栓治療的商榷[J].中國普外基礎與臨床雜志, 2012, 19(11):1149-1151.
22. 丁紅艷.下肢深靜脈血栓形成研究進展[J].中國城鄉企業衛生, 2009, 6(3):29-30.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of Risk Factors for Acute Lower Deep Venous Thrombosis in Patients

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