下肢深静脉血栓形成76例的临床诊治分析

目的:探讨急性下肢深静脉血栓形成(DVT)的诊治方法.方法:回顾性分析下肢DVT患者76例(患肢81条)的临床资料,均为彩超检查明确发现DVT及其部位、范围,治疗采用抗凝、溶栓、祛聚及对症治疗.结果:本组患者疗效满意,54例下肢肿胀、疼痛症状缓解,复查彩超提示深静脉再通,18例症状明显减轻,复查彩超提示深静脉部分再通;2例发生股青肿,转入上级医院安置下腔静脉滤器并手术取栓;2例因晚期肿瘤和脑出血死亡.均随访6个月～2年;结论:下肢DVT患者应争取早期诊断、早期治疗(以非手术治疗为主),通过抗凝、溶栓、祛聚等综合治疗可以达到满意疗效.

Diagnosis and treatment of deep venous thrombosis of lower limbs in 76 cases

Objective：To investigate the diagnosis and treatment of deep venous thrombosis （DVT） of lower limbs.Methods：76 patients with lower extremity deep vein thrombosis （DVT）,including 81 affected limbs.Color Doppler ultrasound were performed on all cases,which clearly found DVT and its location,extent.All the patients were given anticoagulation, thrombolysis,antiplatelet adhesion and symptomatic treatment.Results：Swelling and pain of lower extremity in 54 cases were relieved,and the ultrasonography showed reperfusion; symptoms were significant reduced in 18 cases and the ultrasonography suggested partial recanalization; two cases with blue leg were transferred to higher-level hospital for inferior vena cava filter placement and surgical embolectomy;two cases died of cerebral hemorrhage and advanced cancer. All cases were followed up from 6 months to 2 years.Conclusion：The patients with lower extremity DVT should be early diagnosed and treated, early treatment is mainly based on non-surgical treatment. The comprehensive treatment including anticoagulation, thrombolysis, antiplatelet and adhesion can achieve satisfactory effect.