摘要
静脉血栓栓塞(venousthromboembolism,VTE)包括深静脉血栓形成和肺栓塞。血流缓慢、静脉壁损伤和高凝状态是VTE的高危因素。VTE的识别需要体格检查结合实验室相关检查,如动态测定D-D二聚体,血管超声和静脉造影等。VTE预防建议机械和药物预防联合应用,药物预防需密切监测不良反应。VTE的治疗除了药物抗凝、溶栓治疗外,必要时手术干预。
Venous thromboembolism (VTE) includs deep vein thrombosis and pulmonary embolism.Slow blood flow, venous wall damage and hypercoagulable state are risk factors for VTE.In addition to physical examination, VTE identification requires laboratory-related examinations such as dynamic observation of D-D dimer concentration, vascular ultrasound and venography.VTE prevention recommends a combination of mechanical and drug prophylaxis, and drug prevention requires close monitoring of adverse reactions.In addition to anticoagulation and thrombolytic therapy, VTE treatment requires surgical intervention if necessary.
作者
陈晶晶
陆国平
Chen Jingjing;Lu Guoping(Division of Pediatric Emergency Medicine and Critical Care Medicine, Children's Hospital of Fudan University,Shanghai 201102, China)
出处
《中国小儿急救医学》
CAS
2019年第3期224-227,共4页
Chinese Pediatric Emergency Medicine
关键词
静脉血栓栓塞
静脉血栓形成
肺栓塞
危险因素
预防
治疗
Venous thromboembolism
Deep vein thrombosis
Pulmonary embolism
Risk factors
Prophylaxis
Treatment
