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中西医治疗深静脉血栓形成简况
引用本文:马千惠,李国信.中西医治疗深静脉血栓形成简况[J].实用中医内科杂志,2014(3):151-153.
作者姓名:马千惠  李国信
作者单位:辽宁中医药大学第一临床学院,沈阳110032
摘    要:深静脉血栓形成三大因素:血流滞缓、静脉管壁结构改变和血液高凝状态,外伤、手术、分娩、肿瘤等可直接诱发;分急性期、迁延期和后遗症期,治疗包括抗凝(普通肝素、低分子肝素和华法林)、溶栓、介入(介入导管溶栓术、下腔静脉滤器置入术、球囊扩张及支架成形术和静脉腔内机械性血栓消融术)。根据其临床表现,可归属于"股肿"、"肿胀"、"瘀血流注"等范畴,辨证分型论治充分展现了个性化、专属化原则,针对性强,临床疗效显著;但分型标准、治疗方法、疗效判定标准尚未统一。未来期待多种方法联合应用,发挥中医标本兼治特色,结合西医应用便捷特长,更加有效治疗深静脉血栓形成。

关 键 词:深静脉血栓形成  股肿  瘀血流注  抗凝  溶栓  介入  辨证分型  综述

Chinese and Western Medicine Treatment of Deep Vein Thrombosis Snapshot
Authors:MA Qianhui  LI Guoxin
Institution:(Liaoning University of Traditional Chinese Medicine, The First Clinical College, 2007 Grade, The Seven-Year 'raditional Chinese Medicine Major CoMbining Traditional Chinese and Western Medicine Professional Direction, Shenyang 110032, China)
Abstract:Sluggish blood,vein wall structure changing and blood high condensation state is venous throMbosis three factors.Trauma,such as surgery,childbirth,tumor can directly induce the disease.According to its clinical Manifestations,it can be attributed to "Gu Zhong", "Gu Zhang" and "Yu Xue Liu Zhu" category.Western Medicine contains acute stage,extension and sequelae period.Treatment includes antiplatelet agglomeration(The common heparin,warfarin and heparin to dealers),thrombolysis,interventional therapy(Involvement in dissolving thrombus therapy,inferior vena cava filter surgery,balloon dilatation and stent angioplasty and venous cavity Mechanical thrombus ablation).Traditional Chinese Medicine treatments fully demonstrate the principle of individuation,exclusive,pertinence and the clinical curative effect is remarkable.However,the classification standard Methods,treatment Methods have not unified,outcome has no unified standard.We are looking forward to a variety of joint application,the future of traditional Chinese Medicine curing characteristics,combined with western Medicine convenient application expertise,More effective in the treatment of deep vein thrombosis.
Keywords:Deep venous thrombosis  Gu Zhong  Yu Xue Liu Zhu  Antiplatelet agglomeration  Thrombolysis  Interventional therapy  Syndrome differentiation type  review
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