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140例下肢深静脉血栓形成临床多因素分析 被引量:21

Multiple Analysis the Cause of 140 Cases of Deep Vein Thrombosis in Lower Extremity
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摘要 目的本文对我院血管外科住院的140例下肢深静脉血栓形成(DVT)患者发病诱因进行分析。方法回顾性分析2009年至2011年我院血管外科住院治疗的140例DVT患者发病因素,寻找影响DVT的危险因素。所有病例均经下肢血管彩色B超确诊。结果本组患者年龄分布在13~90(59.7±14.9)岁,DVT发生年龄多在40~80岁之间。女性患者以40~70岁居多,男性患者多在60~70岁。DVT患者的发病诱因依次为手术、外伤、高血压、肿瘤、既往血栓病史、糖尿病、感染性疾病、久坐等原因。有少数患者DVT发病原因不明。结论本组病例分析DVT发生年龄以中老年为多,其中女性DVT多在40~50岁,而50岁以后男性较女性多。发病部位以左下肢多见。手术是DVT主要诱发因素,多发生在术后2年内,且术后2个月内发生较2个月之后多见(P<0.05)。肿瘤本身存在易栓症基础,手术治疗加重了肿瘤血栓形成危险性。 Objective To analyze 140 patients of lower extremity deep vein thrombosis (DVT) influence factors who were stayed in our hospital. Methods Retrospective analysis was carried on the clinical data of 140 cases of DVT in lower limb which were confirm by eolour Doppler in our hospital from 2009 to 2011. Results the age of these cases was 13 years old to 90 years old ( average age 59.7 ± 14.9) , The age of DVT was Concentrated from 40 years old to 80 years old. The peak age of female patients was 40 to 70 years old, while the man' s peak age was 60 to 70 years old. The most important risk factor was surgery,beside this factor, trauma, hypertension, cancer, thrombosis before and so on also important risk factor. Conclusion The incidence of DVT was correlation with age,and the females' peak age was younger the the males. The DVT were happened most in left lower extremity ; Surgery was the most important risk factor, and most of them were found in 2 years, especially in 2 months. Cancer was also a important factor for DVT, and surgery therapy can make this worse.
出处 《血栓与止血学》 2013年第3期107-109,共3页 Chinese Journal of Thrombosis and Hemostasis
关键词 下肢深静脉血栓形成 手术 肿瘤 多因素分析 Deep vein thrombosis Surgery Cancer Multiple analysis
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参考文献9

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