| 378例下肢深静脉血栓形成患者获得性危险因素分析 |
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| 引用本文： | 邓明扬,杨景柯,张广森,舒畅.378例下肢深静脉血栓形成患者获得性危险因素分析[J].临床血液学杂志,2010(3). |
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| 作者姓名： | 邓明扬 杨景柯 张广森 舒畅 |
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| 作者单位： | 中南大学湘雅二医院血液科;中南大学湘雅二医院血管外科; |
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| 摘 要： | 目的:总结分析下肢深静脉血栓形成患者临床表现和实验室特点,分类鉴别下肢深静脉血栓形成的获得性危险因素。方法:对我院2005年1月-2009年1月诊断的378例下肢深静脉血栓形成患者进行回顾性分析。结果:378例中发病有明确诱因者253例(67%),未发现明确诱因者104例(33%)。较常见的危险因素有外科手术/外伤(27.5%)、恶性肿瘤(15.3%)、妊娠(8.4%)、静脉曲张(8.4%)、长期住院卧床患者(5.3%)、风湿免疫性疾患(2.6%)。39例患者经肺血管造影确诊存在肺血管血栓形成,仅19例患者出现肺血栓栓塞相关临床表现如呼吸困难、咯血和胸痛。结论:手术/创伤,尤其是骨折和骨科手术,恶性肿瘤是下肢深静脉血栓形成的重要危险因素。并发肺栓塞的患者临床表现多变,诊断主要依赖肺血管造影检查。
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| 关 键 词： | 下肢深静脉血栓 危险因素 肺栓塞 |
The analysis of acquired risk factors in 378 patients with lower limb deep vein thrombosis |
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| DENG Mingyang YANG Jingke ZHANG Guangsen SHU Chang.The analysis of acquired risk factors in 378 patients with lower limb deep vein thrombosis[J].Journal of Clinical Hematology,2010(3). |
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| Authors: | DENG Mingyang YANG Jingke ZHANG Guangsen SHU Chang |
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| Institution: | 1Department of Hematology/a>;Second Xiangya Hospital of Central South University/a>;Changsha/a>;410011/a>;China/a>;2Department of Vascular Surgery/a>;The Second Xiangya Hospital/a>;Central South University |
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| Abstract: | Objective:To investigate clinical features and acquired risk factors for lower limb deep vein thrombosis.Method:Three hundred and seventy-eight patients with lower limb deep vein thrombosis (during 2005-2009) were analyzed retrospectively.Result:Among the patients,253 cases (67%) were presented acquired risk factors,and there was not known risk factors in 125(33%) cases. Major acquired risk factors were trauma/surgery (27.5%),malignancy (15.3%),pregnancy (8.4%),varix (8.4%),long-term immobilization in bed (... |
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| Keywords: | lower limb deep vein thrombosis risk factor pulmonary embolism |
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