恶性肿瘤并发血栓栓塞61例临床分析

目的 探讨恶性肿瘤并发血栓性疾病的危险因素、临床表现、诊断和治疗的特点.方法 收集我院的61例恶性肿瘤并发血栓栓塞患者为病例组,并收集同期不伴有血栓栓塞的49例恶性肿瘤患者为对照组,回顾性分析恶性肿瘤并发血栓栓塞的危险因素、临床表现、诊断和治疗的特点.结果 病例组61例患者中,下肢深静脉血栓形成者44例,上肢深静脉血栓...

Clinical analysis of 61 cases of malignancy disease with thromboembolism

Objective To analyze the risk factors,clinical manifestation,diagnosis and therapeutics of thromboembolism in cancer patients.Methods Sixty-one cases of malignancy disease with thromboembolism were enrolled as the study group,and 49 cancer patients without thrombotic disease as the control group.The risk factors,clinical manifestation,diagnosis and therapeutics of thromboembolism in cancer patients were analyzed retrospectively.Results There were 44 cases with deep venous thrombosis of lower limb,8 with pulmonary embolism and 5 with cerebral infarction in the study group.Thirty-three cases were cured and 15 improved with the efficacy of 78.7 percent.More than half of the patients responded in the first 3 days.Thirty-one cases happened thrombotic disease in the first two months of cancer diagnosis.Conclusion Complication of infection,concomitant surgery,and the use of dexamethasone are risk factors of thromboembolism.