摘要
重症监护病房(ICU)的患者因长期卧床、机械通气、镇静和肌松、手术以及中心静脉置管等有创操作使深静脉血栓(DVT)的发生风险增加。低分子肝素在预防DVT方面应用广泛,其预防效果也得到公认。但随之而来的出血也屡见不鲜,亦有导致大出血的案例报道。回顾性分析我院2014年11月至2015年4月期间15例低分子肝素导致不同程度出血的原因,提出应对策略,消除出血隐患。
The risk of deep vein thrombosis （DVT） for ICU patients is increased due to long-term bedridden ,mechanicalven-tilation ,sedation and muscle relaxtionandoperation of central venous catheter and other invasive operation ,prevention is more important than treatment in clinical .Low molecule weight heparin （LMWH ） is widely used in the prevention of DVT .Its pre-vention effect has also been recognized .But it also has led to bleeding clinically .In this paper ,through a retrospective analysis of 15 clinical cases ,with-LMWH causeds different degrees of bleeding ,wesystematicly summarized of the coping strategies and feasible scheme to eliminate effectively the hidden -hemorrhage .
出处
《浙江医学教育》
2015年第4期43-45,共3页
Zhejiang Medical Education
关键词
重症监护病房
低分子肝素
深静脉血栓
出血
intensive care unit （ICU）
low molecule weight heparin （LMWH）
deep vein thrombosis （DVT）
Bleeding
