| 极度肥胖静脉血栓栓塞预防围手术期管理流程 |
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| 引用本文： | 董文培,侯栋升,王睿,杨董超,宋致成,杨建军,顾岩. 极度肥胖静脉血栓栓塞预防围手术期管理流程[J]. 中国普通外科杂志, 2024, 33(4): 539-544 |
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| 作者姓名： | 董文培 侯栋升 王睿 杨董超 宋致成 杨建军 顾岩 |
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| 作者单位： | 复旦大学附属华东医院 普通外科，上海 200040 |
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| 基金项目： | 国家自然科学基金资助项目（81970455，82170526，82281340414）；上海市“科技创新行动计划”医学创新研究专项基金资助项目（22Y11904500）；华东医院青年培育基金资助项目（GZRPY006Y）。 |
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| 摘 要： | 静脉血栓栓塞（VTE）是减重代谢外科术后常见的并发症之一，极度肥胖患者具有较高的VTE发生风险。笔者就国内外相关指南、文献进行梳理分析，同时结合笔者中心的临床经验，整理并总结极度肥胖患者围手术期VTE预防管理流程，以期为VTE的防治提供参考。
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| 关 键 词： | 减肥手术 肥胖症 静脉血栓栓塞 围手术期医护 |
| 收稿时间： | 2022-09-28 |
| 修稿时间： | 2023-07-12 |
Perioperative management protocol for the prophylaxis of venous thromboembolism in extremely obese patients |
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| DONG Wenpei,HOU Dongsheng,WANG Rui,YANG Dongchao,SONG Zhicheng,YANG Jianjun,GU Yan. Perioperative management protocol for the prophylaxis of venous thromboembolism in extremely obese patients[J]. Chinese Journal of General Surgery, 2024, 33(4): 539-544 |
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| Authors: | DONG Wenpei HOU Dongsheng WANG Rui YANG Dongchao SONG Zhicheng YANG Jianjun GU Yan |
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| Affiliation: | Department of General Surgery, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China |
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| Abstract: | Venous thromboembolism (VTE) is one of the common complications after bariatric/metabolic surgery, and extremely obese patients have a higher risk of VTE occurrence. Here, the authors conducted a review and analysis of relevant guidelines and literature from both domestic and international sources, incorporated with the clinical experience of their center, to organize and summarize perioperative VTE prevention and management protocols for extremely obese patients, with the aim of providing guidance for the prevention and treatment of VTE. |
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| Keywords: | Bariatric Surgery Obesity Venous Thromboembolism Perioperative Care |
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