Analysis of Risk Factors for Acute Lower Deep Venous Thrombosis in Patients_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WANGXue-gang ,  JIANGLan-shan , BAIDou , WUShao-hui , ZHANGXiao-jie

Department of Vascular Surgery, Mianyang Central Hospital, Mianyang 621000, Sichuan Province, China;

Corresponding author：

JIANGLan-shan, Email: 422242431@qq.com

Keywords：

Venous thrombosis; Risk factor; Prophylaxis

DOI：

10.7507/1007-9424.20140302

Video：

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Objective To investigate the risk factors for lower limbs deep venous thrombosis(LDVT), and provide reference for the prevention and treatment of LDVT. Methods The pathogenic factors of 187 patients with LDVT in our hospital from 2010 to 2013 were retrospectively analyzed. Results One hundred and eighty-seven patients with LDVT were 19-88 years old, mean 56.6 years old, and the age of onset was many in the 41-60 years old(65.2%). In 187 cases, male 102 cases, female 85 cases; left lower extremity in 112 cases, right lower extremity in 65 cases, and 10 cases of double lower limbs. LDVT predisposing factors were the lower extremities a history of fracture, surgery, tumor, bedridden, previous history of blood clots, and a small amount of internal diseases of unknown cause. Conclusions LDVT occurs at 41-60 years old. The surgery, tumor, and history of thrombosis are independent risk factor of LDVT.

Citation： WANGXue-gang, JIANGLan-shan, BAIDou, WUShao-hui, ZHANGXiao-jie. Analysis of Risk Factors for Acute Lower Deep Venous Thrombosis in Patients. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(10): 1264-1267. doi: 10.7507/1007-9424.20140302 Copy

1.	韦艳芬.下肢深静脉血栓形成的诊断与治疗[J].医学综述, 2008, 14(3):390-392.
2.	贾奇柯, 孔瑞泽, 张承磊, 等.静脉血栓栓塞症的流行病学[J].中国血管外科杂志:电子版, 2013, 5(1):62-64.
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8.	孙幸, 顾健, 倪军, 等. 140例下肢深静脉血栓形成临床多因素分析[J].血栓与止血, 2013, 19(3):107-109.
9.	Prandoni P. Acquired risk factors of venous thromboembolism in medical patients[J]. Pathophysiol Haemost Thromb, 2006, 35(1-2):128-132.
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11.	Timothy K, Liem MD, Thanh M, et al. Symptomatic perioperative venous thromboembolism is a frequent complication in patients with a history of deep vein thrombosis[J]. J Vasc Surg, 2010, 53(3):651-657.
12.	汪忠镐, 董建德.经济舱综合征[J].中国现代普通外科进展, 2008, 11(1):1-3.
13.	Ay C, Pabinger I. Treatment and secondary prevention of venous thromboembolism in cancer patients. Current strategies and new therapeutic options[J]. Hamostaseologie, 2012, 32(2):139-144.
14.	Holbrook A, Schulman S, Witt DM, et a1. Evidence-based management of anticoagulant therapy:Antithrombotic Therapy and Prevention of Thrombosis, 9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J]. Chest, 2012, 141(2 Suppl):e152S-e184S.
15.	严赘琦, 张皓, 张柏根.抗凝溶栓治疗对急性下肢深静脉血栓形成预后的影响[J].中华外科杂志, 2011, 49(6):495-499.
16.	李玉民.下肢深静脉血栓形成的诊治认识[J].中华中西医杂志, 2006, 7(23):2142-2144.
17.	张文广, 李震, 韩新巍.经导管接触溶栓与单纯静脉药物溶栓治疗下肢深静脉血栓的对比分析[J].中国普外基础与临床杂志, 2012, 19(11):1171-1174.
18.	Baekgaard N, Klitfod L, Broholm R. Safety and efficacy of catheter-directed thrombolysis[J]. Phlebology, 2012, 27(5):149-154.
19.	刘芳, 吕平, 金毕.急性深静脉血栓的导管溶栓治疗[J].中华普通外科杂志, 2010, 25(3):257-259.
20.	中华医学会放射学分会介入学组.下肢深静脉血栓形成介入治疗规范的专家共识[J].中华放射学杂志, 2011, 45(3):293-296.
21.	汪忠镐, 李震.深静脉血栓治疗的商榷[J].中国普外基础与临床杂志, 2012, 19(11):1149-1151.
22.	丁红艳.下肢深静脉血栓形成研究进展[J].中国城乡企业卫生, 2009, 6(3):29-30.

1. 韦艳芬.下肢深静脉血栓形成的诊断与治疗[J].医学综述, 2008, 14(3):390-392.
2. 贾奇柯, 孔瑞泽, 张承磊, 等.静脉血栓栓塞症的流行病学[J].中国血管外科杂志:电子版, 2013, 5(1):62-64.
3. Stein PD, Matta F, Musani MH, et a1. Silent pulmonary embo-lism in patients with deep venous thrombosis:a systematic review[J]. Am J Med, 2010, 123(5):426-431.
4. 中华医学会外科学分会血管外科学组.深静脉血栓形成的诊断和治疗指南(第2版)[J].中国血管外科杂志:电子版, 2013, 5(1):23-26.
5. 李俊来, 宋阳光, 唐杰.提高下肢静脉血栓超声诊断水平的对策[J].中华医学超声杂志, 2009, 6(10):6-9.
6. 刘卫星, 高永艳, 李艳秋.彩色多普勒超声检测下肢深静脉血栓的探讨[J].解放军医学杂志, 2003, 28(8):737-738.
7. 张柏根, 薛冠华.深静脉血栓形成的病因及高危因素[J].中国实用外科杂志, 2003, 23(4):197-200.
8. 孙幸, 顾健, 倪军, 等. 140例下肢深静脉血栓形成临床多因素分析[J].血栓与止血, 2013, 19(3):107-109.
9. Prandoni P. Acquired risk factors of venous thromboembolism in medical patients[J]. Pathophysiol Haemost Thromb, 2006, 35(1-2):128-132.
10. 李娟, 李俊来, 刘小平, 等.下肢深静脉血栓高危因素分析[J].感染、炎症、修复, 2012, 13(4):215-217.
11. Timothy K, Liem MD, Thanh M, et al. Symptomatic perioperative venous thromboembolism is a frequent complication in patients with a history of deep vein thrombosis[J]. J Vasc Surg, 2010, 53(3):651-657.
12. 汪忠镐, 董建德.经济舱综合征[J].中国现代普通外科进展, 2008, 11(1):1-3.
13. Ay C, Pabinger I. Treatment and secondary prevention of venous thromboembolism in cancer patients. Current strategies and new therapeutic options[J]. Hamostaseologie, 2012, 32(2):139-144.
14. Holbrook A, Schulman S, Witt DM, et a1. Evidence-based management of anticoagulant therapy:Antithrombotic Therapy and Prevention of Thrombosis, 9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J]. Chest, 2012, 141(2 Suppl):e152S-e184S.
15. 严赘琦, 张皓, 张柏根.抗凝溶栓治疗对急性下肢深静脉血栓形成预后的影响[J].中华外科杂志, 2011, 49(6):495-499.
16. 李玉民.下肢深静脉血栓形成的诊治认识[J].中华中西医杂志, 2006, 7(23):2142-2144.
17. 张文广, 李震, 韩新巍.经导管接触溶栓与单纯静脉药物溶栓治疗下肢深静脉血栓的对比分析[J].中国普外基础与临床杂志, 2012, 19(11):1171-1174.
18. Baekgaard N, Klitfod L, Broholm R. Safety and efficacy of catheter-directed thrombolysis[J]. Phlebology, 2012, 27(5):149-154.
19. 刘芳, 吕平, 金毕.急性深静脉血栓的导管溶栓治疗[J].中华普通外科杂志, 2010, 25(3):257-259.
20. 中华医学会放射学分会介入学组.下肢深静脉血栓形成介入治疗规范的专家共识[J].中华放射学杂志, 2011, 45(3):293-296.
21. 汪忠镐, 李震.深静脉血栓治疗的商榷[J].中国普外基础与临床杂志, 2012, 19(11):1149-1151.
22. 丁红艳.下肢深静脉血栓形成研究进展[J].中国城乡企业卫生, 2009, 6(3):29-30.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of Risk Factors for Acute Lower Deep Venous Thrombosis in Patients

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