静脉血栓栓塞症201例临床分析

目的为临床规范性诊治和预防静脉血栓栓塞症（VTE）提供参考。方法分析201例VTE患者的临床资料，包括VTE与性别、年龄、基础疾病、危险因素、诊治与预后等的关系。结果门诊患者79例，住院患者122例，男132例，女69例，男：女为1．91：1；年龄最小13岁，最大92岁，平均年龄（54．92士17．29）岁；发病高峰60～69岁57例（28．4％）。201例VTE患者中，深静脉血栓（DVT）187例（93．0％），肺血栓栓塞症（PTE）14例（7．0％），以血栓性静脉炎、肿瘤、骨折为主要基础疾病；多伴有高龄、制动、手术多项危险因素。治愈及好转者161例（80．0％），死亡6例（2。9％）。结论VTE发病率男〉女，DVT占了很大比例（93．0％）；老年好发，主要基础疾病多见于血栓性静脉炎、肿瘤及骨折；加强VTE患者的管理，提高医务人员对PTE的认识及DVT的正确诊治至关重要。

Clinical analysis of venous thromboembolism

Objective To analysis clinical features of venous thromboembolism（VTE）in patients. Methods The clinical data of 201 VTE patients were analyzed to find the relationship of VTE incidence with gender, age, basic diseases and risk factors and the relationship of prognosis with diagnosis and therapy. Results 79 case of the 201 patients were outpatients, including 50 men and 29 women. 122 patients were inpatients,including 82 men and 40 women. The youngest of the patients was 13 and the oldest 92 years old. The peak of incidence was at 60 to 69 years of age （28. 4%）. 201 patients were including deep vein thrombosis （DVT, 187 cases, 93%） and pulmonary thromboembolism （PTE, 14 cases, 7%）. The main basic diseases were venous sepsis, tumors and fractures. The effective rate was 80% and the mortality rate 2.9%. Conclusion Incidence of VTE is higher in the male and in the old patiets. Most of VTE are DVT （93%）. The main basic diseases are venous sepsis,tumors and fracture.