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妇科肿瘤术后并发下肢深静脉血栓24例分析
引用本文:王红英,李东峰,李玉珍,周宏. 妇科肿瘤术后并发下肢深静脉血栓24例分析[J]. 中国实用妇科与产科杂志, 2003, 19(2): 108-109
作者姓名:王红英  李东峰  李玉珍  周宏
作者单位:山东省聊城市人民医院妇产科,252000
摘    要:目的:探讨妇科肿瘤患者术后并发下肢深静脉血栓形成(DVT)的原因、诊断治疗要点及预防措施。方法:回顾性分析24例妇科术后DVT的临床特点及诊断、治疗的方法。结果:发生DVT的高危因素是盆腔恶性肿瘤、老年妇女、血粘度增高、合并高血压、糖尿病及术后常规应用止血药等。治疗采用肝素、小剂量尿激酶、低分子右旋糖酐及复方丹参等,取得满意效果。结论:对有DVT高危因素的妇科肿瘤患者,手术前后应加强预防措施。

关 键 词:妇科肿瘤 术后 下肢深静脉血栓 肝素 尿激酶 诊断 治疗
文章编号:1005-2216(2003)02-0108-02

Clinical analysis of 24 cases with leg deep venous thrombosis after operation for gynecologic tumors
Wang Hongying,Li Dongfeng,Li Yuzhen,et al.. Clinical analysis of 24 cases with leg deep venous thrombosis after operation for gynecologic tumors[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2003, 19(2): 108-109
Authors:Wang Hongying  Li Dongfeng  Li Yuzhen  et al.
Affiliation:Wang Hongying,Li Dongfeng,Li Yuzhen,et al.Dept. of Obstetrics and Gynecology,Liaocheng City People's Hospital,Liaocheng 252000,China
Abstract:Objective To describe the clinical profile of deep venous thrombosis(DVT)after operation of pelvic tumors and to study the cause,diagnosis,treatment and prevention.Methods The clinical characteristics,the methods of diagnosis and treatment of 24 cases with DVT were retrospectively analyzed.Results Pelvic malignant tumors,old age,blood hyperviscosity,hypertension,diabetes mellitus and application of hemostatic drugs were high risk factors for postoperative DVT.Heparin,uric kinase,low molecular dextran were effective in treating postoperative DVT.Conclusion Preoperative and postoperative prophylactic treatment of DVT should be considered in high risk population with gynecologic tumors.
Keywords:Genital neoplasms Thrombophlebitis Heparin Uric kinase
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