摘要
目的分析植入心脏起搏器术后发生深静脉血栓的相关因素,以指导临床有针对性地进行预防。方法对275例植入心脏起搏器,术后发生各种深静脉血栓的28例患者,将围手术期各种因素进行统计学分析,判断是否与术后深静脉血栓存在相关性。结果统计学分析显示,既往有深静脉血栓形成(DVT)史、高龄和肥胖是起搏器植入术后深静脉血栓形成的重要危险因素。手术时间,起搏器种类,术前凝血机制(PT)与起搏器置放术后深静脉血栓发生无相关关系。结论对于存在DVT的高危因素的患者应预防性使用抗凝药物,以减少、甚至避免引起博器植入术后深静脉血栓的形成。
Objective To prevent deep venous thrombosis postoperative pacemaker implantation. Methods Of 275 cases of pacemaker implantation in 10 years were analyzed. The perioperative factors were statistically analyzed to determine which was associated with the presence of postoperative deep vein thrombosis. ResultsThe statistical analysis shows that history of DVT, the old age and obesity were important risk factor with deep venous thrombosis postoperative pacemaker implantation. Operative time, type of pacemaker, preoperative coagulation mechanism （PT） was no correlation with deep vein thrombosis postoperation. Conclusion The patients with high risk factors of DVT can use anticoagulant drugs for prevention.
出处
《西部医学》
2009年第11期1937-1938,共2页
Medical Journal of West China
关键词
起搏器
深静脉血栓
相关因素
Pacemakers
Deep vein thrombosis
Correlation factor
