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深静脉血栓的临床治疗研究深静脉血栓(DVT)病人治疗方法包括手术切除,药物溶解或单纯肝素治疗.作者在严格设计下对三种方法进行了前瞻性研究.共209例病人的233次DVT.68例次(29%)行切除术;41例次(18%)溶栓治疗;124例次(53%)单纯肝素治疗.治疗后8天,3月和6月随访调查.疗效分优秀,良好,中等和差四等.第二次随访不用静脉造影.3组病人中,因手术和溶栓治疗禁忌症,故肝素组病人年龄较大.手术组和溶栓组肿瘤病人分别为5.8%和4.8%,肝素组占29.8%.盆腔静脉血栓常用切除术;小腿血栓常用肝素;末梢静脉血栓用溶栓治疗.3种治疗方法6个月随访结果表明:手术和溶栓治疗比单用肝素效果好.肝素组晚期结果中22%为
Clinical Study of Deep Venous Thrombosis Treatment of patients with deep venous thrombosis (DVT) includes surgical resection, drug dissolution, or heparin alone. The authors underwent a prospective study of three approaches under a rigorous design. A total of 233 DVT .68 cases (29%) underwent resection; 41 cases (18%) received thrombolytic therapy; 124 cases (53%) treated with heparin alone, followed up 8 days, 3 months and 6 months after treatment. , Good, moderate and poor four, etc .. The second follow-up without venography .3 patients, due to surgical and thrombolytic contraindications, so the heparin group patients older .Treatment group and thrombolytic group tumor patients were 5.8 % And 4.8%, heparin group accounted for 29.8% .Pancerect resection of pelvic venous thrombosis; calf thrombosis commonly used heparin; peripheral venous thrombosis thrombolytic therapy .3 kinds of treatment 6 months follow-up results show that: surgery and thrombolytic therapy than single Heparin effect is good. Heparin group of late results in 22%