论文部分内容阅读
目的探讨妇科肿瘤患者术后发生血栓性疾病的原因及诊疗措施。方法回顾性分析2002年10月至2009年10月期间由登封市妇幼保健院治疗的26例妇科肿瘤术后发生血栓性疾病患者的临床资料、诊治及预防措施。结果 23例深静脉血栓(DVT)患者给予溶栓、抗凝、祛聚和降低血液黏稠度治疗后,其中16例1个疗程后治愈,7例2个疗程后治愈。2例肺栓塞(PTE)患者转至心内科治疗后痊愈,1例PTE患者经抢救无效死亡。结论老年女性、遗传性血栓形成倾向、高血压、糖尿病、围术期卧床制动、手术损伤、血黏稠度增高、术后常规应用止血药等为血栓性疾病发生的高危因素。手术前后针对上述高危因素积极预防,加上及时有效的治疗,可有效降低妇科肿瘤术后血栓性疾病的发病率。
Objective To investigate the causes and diagnosis and treatment of postoperative thrombotic diseases in gynecologic oncology patients. Methods The clinical data, diagnosis, treatment and prevention measures of 26 patients with thrombotic disease after gynecological tumor treated by Dengfeng MCH from October 2002 to October 2009 were retrospectively analyzed. Results Thirteen cases of deep venous thrombosis (DVT) were given thrombolysis, anticoagulation, coagulation and blood viscosity reduction. Among them, 16 cases were cured after 1 course and 7 cases were cured after 2 courses. 2 cases of pulmonary embolism (PTE) patients go to cardiology cure after recovery, 1 patient died of PTE died after rescue. Conclusions Elderly women have high risk factors for thrombotic diseases such as hereditary thrombosis tendency, hypertension, diabetes mellitus, perioperative immobilization in bed, surgical injury, increased blood viscosity and postoperative routine application of hemostatic agents. Preoperative and postoperative prevention of these high-risk factors for active prevention, coupled with timely and effective treatment, can effectively reduce the incidence of postoperative thrombotic gynecological diseases.