人工肝支持系统治疗肝衰竭术后并发下肢深静脉血栓形成的处理策略

目的明确人工肝支持系统(ALSS)治疗肝衰竭(LF)病人术后并发下肢深静脉血栓形成的处理策略。方法回顾性分析2019年1月至2021年9月安徽医科大学第一附属医院收治的经ALSS治疗的肝衰竭病人216例，选择有临床症状并经彩

Treatment strategies of deep venous thrombosis after artificial liver treatment in patients with liver failure

Objective To clarify the management strategies of deep venous thrombosis (DVT) of lower extremities in patients with liver failure (LF) after the treatment of artificial liver support system (ALSS).Methods A retrospective analysis was performed on 216 patients with LF treated with ALSS in the First Affiliated Hospital of Anhui Medical University from January 2019 to September 2021,and 6 patients with DVT in lower extremities with clinical symptoms confirmed by Color Doppler Flow Imaging were selected as the re?search objects. Clinical data of the patients were analyzed and management strategies were discussed. The management strategies of DVT were analyzed.Results All the 6 patients underwent safe extubation after anticoagulation, intraductal thrombolysis, lower extrem?ities venous filter implantation combined with thrombolysis, and no treatment-related complications were found.Conclusions The treatment of LF complicated with DVT is difficult, low molecular weight heparin (LMWH) anticoagulation may be the first choice. Intra?catheter thrombolysis or temporary filter plus mechanical thrombolysis are also selected according to the patient''s condition.