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目的社区医院探索下肢深静脉血栓(deep venous ghrombosis,DVT)形成的基础疾病、临床表现、诊疗及肺栓塞的预防措施。方法回顾性分析65例下肢DVT的住院患者诊治经过。结果本组所有患者经彩色多普勒血流成像技术(CDFI)检查后均能明确下肢DVT的部位、范围及管腔的狭窄程度。血管造影X线检查,可以反映出血栓部位管腔狭窄的表现。结论 DVT是一种具有潜在危险性的血管性疾病,外科手术、长期卧床及恶性肿瘤为最常见的基础疾病,共占75.38%;单侧肢体肿胀是下肢DVT的临床特点;彩色超声波检查能较好的作出下肢DVT的诊断;C-反应蛋白水平提高是DVT形成的危险因子;在治疗DVT的过程中,社区医院尤其应注意预防急性肺栓塞的发生。
Objective To investigate the underlying diseases, clinical manifestation, diagnosis and treatment and pulmonary embolism prevention measures of deep venous ghrombosis (DVT) in community hospital. Methods Retrospective analysis of 65 cases of lower extremity DVT inpatients after treatment. Results All patients in our group were able to confirm the location of DVT and the degree of stenosis of the lower extremity after color Doppler flow imaging (CDFI) examination. Angiography X-ray examination can reflect the performance of thrombosis stenosis. Conclusions DVT is a potentially dangerous vascular disease. Surgery, bedridden and malignant tumors are the most common underlying diseases, accounting for 75.38%. Unilateral limb swelling is the clinical feature of lower extremity DVT. Color ultrasonography can compare Good diagnosis of lower extremity DVT; C-reactive protein level is a risk factor for the formation of DVT; in the treatment of DVT, community hospitals should pay particular attention to prevent the occurrence of acute pulmonary embolism.