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住院恶性肿瘤病人下肢深静脉血栓发生风险预测及相关因素分析
引用本文:谷秉红,杨萍. 住院恶性肿瘤病人下肢深静脉血栓发生风险预测及相关因素分析[J]. 护理管理杂志, 2013, 13(5): 370-372
作者姓名:谷秉红  杨萍
作者单位:1. 北京市大兴区人民医院肿瘤科,102600
2. 北京大学护理学院,北京市,100191
基金项目:首都卫生发展科研专项项目
摘    要:目的预测住院恶性肿瘤病人下肢深静脉血栓的发生风险并进行相关因素分析。方法对477例住院恶性肿瘤病人进行Wells评分及D-dimer检查,对Wells评分1分且D-dimer阳性及Wells评分≥2分的病人行双下肢彩色多普勒检查,并分析恶性肿瘤病人下肢深静脉血栓的相关因素。结果 477例恶性肿瘤病人中发生下肢深静脉血栓者44例,发生率为9.22%;卧床(>3 d)、吸烟史是住院恶性肿瘤病人血栓形成的危险因素。结论对于卧床(>3 d)、有吸烟史的恶性肿瘤病人要警惕其住院期间发生下肢深静脉血栓。

关 键 词:恶性肿瘤  深静脉血栓  风险预测

Analysis of risk profile and related factors of deep-vein thrombosis in lower limbs of cancer inpatients
GU Bing-hong , YANG Ping. Analysis of risk profile and related factors of deep-vein thrombosis in lower limbs of cancer inpatients[J]. Journal of Nursing Administration, 2013, 13(5): 370-372
Authors:GU Bing-hong    YANG Ping
Affiliation:1. Department of Oncoiogy, People's Hospital of Daxing District in Beijing, Beijing 102600, China ;2. School of Nursing, Peking University, Beijing 100191, China )
Abstract:Objective To predict the risk of deep -vein thrombosis (DVT) in lower limbs of cancer inpatients and to analyze the related factors. Methods A total of 477 cancer inpatients were recruited and assessed by Wells Scale combined with D - dimer test. Patients with Wells score one point and positive D - dimer test, or Wells score over two points were examined by both lower limbs Color Doppler examination. Factors related with DVT were analyzed. Results A total of 44 cancer inpatients were occurred DVT in 477 cases, the incidence of DVT was 9.22%. Lying in bed over 3 days and smoking history were risk factors of DVT in cancer inpatients. Conclusion More attention should be paid to cancer inpatients with lying in bed over 3 days and smoking history in case of DVT.
Keywords:cancer  deep - vein thrombosis (DVT)  risk profile
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