| 急性下肢深静脉血栓形成148例的治疗 |
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| 引用本文： | 孙英信,时德,向志,曾希志,张依仁.急性下肢深静脉血栓形成148例的治疗[J].第四军医大学学报,2002,23(9):813-814. |
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| 作者姓名： | 孙英信 时德 向志 曾希志 张依仁 |
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| 作者单位： | 重庆医科大学附属一院普通外科,重庆,400016 |
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| 摘 要： | 目的：探讨急性下肢深静脉血栓（DVT）形成的治疗。方法 1985－01／2000－12我院收治急性下肢深静脉血栓形成148例（男52，女96）例，年龄26－78（平均45）岁，对左下肢129例，右下肢14例，手术治疗23例，保守治疗125例，进行回顾性分析讨论。结果 治愈55例（37％），基本治愈82例（55．4％），好转10例（6．7％），无效1例（0．7％）。结论 发病时间≤48h者手术取栓效果满意，尿激酶是安全有效的非手术治疗药物。
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| 关 键 词： | 外科手术 治疗 急性下肢深静脉血栓形成 |
| 文章编号： | 1000-2790(2002)09-0813-02 |
| 修稿时间： | 2002年2月25日 |
Treatment of 148 patients with acute deep venous thrombosis in lower limbs |
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| SUN Ying Xin,SHI De,XIANG Zhi,ZEN Xi Zhi,ZHANG Yi Re.Treatment of 148 patients with acute deep venous thrombosis in lower limbs[J].Journal of the Fourth Military Medical University,2002,23(9):813-814. |
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| Authors: | SUN Ying Xin SHI De XIANG Zhi ZEN Xi Zhi ZHANG Yi Re |
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| Institution: | SUN Ying Xin,SHI De,XIANG Zhi,ZEN Xi Zhi,ZHANG Yi Re Department of General Surgery,First Affiliated Hospital of Chongqing University of Medical Sciences,Chongqing 400016,China |
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| Abstract: | AIM To investigate the treatment for acute deep venous thrombosis (DVT) in lower limbs. METHODS One hundred forty eight patients with DVT of lower limb in our hospital from 1985 to 2000 were analyzed retrospectively. RESULTS Among these patients, 55 cases were cured (37%), 82 cases were approximately cured (55.4%), and 10 cases were improved ( 6.7% ). To one case the treatment was ineffective (0.7%). CONCLUSION The therapeutic efficacy of thrombectomy on patients with DVT of lower limb in 48 hours is satisfactory, but to the cases with DVT over 48 hours it appears poor. The urokinase may be a safe and effective drug for the non surgical therapy of DVT in lower limb. |
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| Keywords: | deep vein thrombosis therapy |
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