共识与指南
ENGLISH ABSTRACT
创伤骨科患者围术期下肢静脉血栓形成诊断及防治专家共识(2022年)
周武
曹发奇
曾睿寅
姜保国
唐佩福
吴新宝
余斌
侯志勇
黎健
苏佳灿
刘国栋
禹宝庆
袁志
倪江东
陈雁西
傅德皓
童培建
王栋梁
张殿英
张鹏
张云飞
牛丰
杨雷
杨强
施忠民
周强
王俊文
王勇
何承建
车彪
赵猛
夏平
熊蠡茗
曹烈虎
陈晓
李卉
孙云
胡良聪
胡衍
刘梦非
米博斌
熊元
薛航
林泽
张英泽
胡豫
刘国辉
作者及单位信息
·
DOI: 10.3760/cma.j.cn501098-20210822-00451
Expert consensus on diagnosis, prevention and treatment of perioperative lower extremity vein thrombosis in orthopedic trauma patients (2022 edition)
Zhou Wu
Cao Faqi
Zeng Ruiyin
Jiang Baoguo
Tang Peifu
Wu Xinbao
Yu Bin
Hou Zhiyong
Li Jian
Su Jiacan
Liu Guodong
Yu Baoqing
Yuan Zhi
Ni Jiangdong
Chen Yanxi
Fu Dehao
Tong Peijian
Wang Dongliang
Zhang Dianying
Zhang Peng
Zhang Yunfei
Niu Feng
Yang Lei
Yang Qiang
Shi Zhongmin
Zhou Qiang
Wang Junwen
Wang Yong
He Chengjian
Che Biao
Zhao Meng
Xia Ping
Xiong Liming
Cao Liehu
Chen Xiao
Li Hui
Sun Yun
Hu Liangcong
Hu Yan
Liu Mengfei
Mi Bobin
Xiong Yuan
Xue Hang
Lin Ze
Zhang Yingze
Hu Yu
Liu Guohui
Authors Info & Affiliations
Zhou Wu
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Cao Faqi
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Zeng Ruiyin
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Jiang Baoguo
People′s Hospital of Peking University, Beijing 100044, China
Tang Peifu
Chinese PLA General Hospital, Beijing 100853, China
Wu Xinbao
Beijing Jishuitan Hospital, Beijing 100035, China
Yu Bin
Nanfang Hospital, Nanfang Medical University, Guangzhou 510515, China
Hou Zhiyong
Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
Li Jian
Beijing Institute of Geriatrics, Natronal Health Commission, Beijing 100730, China
Su Jiacan
First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Liu Guodong
Daping Hospital, Army Medical University, Chongqing 400042, China
Yu Baoqing
Pudong Hospital Affiliated to Fudan University, Shanghai 201399, China
Yuan Zhi
Xijing Hospital, Air Force Medical University, Xi′an 710032, China
Ni Jiangdong
Second Xiangya Hospital of Central South University, Changsha 410011, China
Chen Yanxi
Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China
Fu Dehao
First People′s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200080, China
Tong Peijian
Zhejiang Provincial Hospital of Chinese Medicine, Hangzhou 310003, China
Wang Dongliang
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Zhang Dianying
People′s Hospital of Peking University, Beijing 100044, China
Zhang Peng
Shandong Provincial Hospital, Jinan 250021, China
Zhang Yunfei
Tangdu Hospital Affiliated to Air Force Military Medical University, Xi′an 710038, China
Niu Feng
First Hospital of Bethune Affiliated to Jilin University, Changchun 130021, China
Yang Lei
Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325027, China
Yang Qiang
Tianjin Hospital, Tianjin 300211, China
Shi Zhongmin
Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China
Zhou Qiang
Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China
Wang Junwen
Wuhan Fourth Hospital, Wuhan 430030, China
Wang Yong
Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou 325003, China
He Chengjian
Affiliated Hospital of Hubei University of Chinese Medicine, Wuhan 430060, China
Che Biao
Changjiang Shipping General Hospital, Wuhan 430019, China
Zhao Meng
Shiyan Taihe Hospital, Shiyan 442099, China
Xia Ping
Wuhan NO.1 Hospital, Wuhan 430022, China
Xiong Liming
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Cao Liehu
First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Chen Xiao
First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Li Hui
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Sun Yun
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Hu Liangcong
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Hu Yan
First Affiliated Hospital of Naval Medical University, Shanghai 200433, China
Liu Mengfei
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Mi Bobin
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Xiong Yuan
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Xue Hang
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Lin Ze
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Zhang Yingze
Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
Hu Yu
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
Liu Guohui
Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology, Wuhan 430022, China
·
DOI: 10.3760/cma.j.cn501098-20210822-00451
11468
4079
0
5
209
102
PDF下载
APP内阅读
摘要

下肢深静脉血栓形成(DVT)是创伤骨科患者的主要并发症之一,严重DVT甚至会影响动脉供血,出现相应肢体供血不足。若发生血栓脱落可并发肺栓塞,病死率较高。临床上下肢骨折患者DVT的治疗和康复策略均有其特殊性。创伤骨科患者并发DVT已经引起广泛的关注与研究,预防和治疗DVT的最佳措施也在不断发展。近年来国内外陆续更新了一系列血栓防治指南,但临床上对于不同创伤骨折患者DVT的防治方式仍有不少疑惑。因此,笔者在总结国内外最新的循证医学证据和广大专家的临床经验基础上,针对创伤骨科患者DVT的临床诊疗和预防方案进行总结,就下肢DVT的诊断、评估、治疗及预防措施等方面制订本共识,为创伤骨科患者下肢DVT的处理提供一套适合我国国情且简便易行的方案,以期改善患者预后,提高其生活质量。

静脉血栓形成;下肢;共识
ABSTRACT

Lower extremity deep vein thrombosis (DVT) is one of the main complications in patients with traumatic fractures, and for severe patients, the DVT can even affect arterial blood supply, resulting in insufficient limb blood supply. If the thrombus breaks off, pulmonary embolism may occur, with a high mortality. The treatment and rehabilitation strategies of thrombosis in patients with lower extremity fractures have its particularity. DVT in traumatic fractures patients has attracted extensive attention and been largely studied, and the measures for prevention and treatment of DVT are constantly developing. In recent years, a series of thrombosis prevention and treatment guidelines have been updated at home and abroad, but there are still many doubts about the prevention and treatment of DVT in patients with different traumatic fractures. Accordingly, on the basis of summarizing the latest evidence-based medical evidence at home and abroad and the clinical experience of the majority of experts, the authors summarize the clinical treatment and prevention protocols for DVT in patients with traumatic fractures, and make this consensus on the examination and assessment, treatment, prevention and preventive measures for DVT in patients with different fractures so as to provide a practicable approach suitable for China s national conditions and improve the prognosis and the life quality of patients.

Venous thrombosis;Lower extremity;Consensus
Zhang Yingze, Email: mocdef.6ab21gnahzzyrd, Tel: 0086-1331-3012-888
Hu Yu, Email: mocdef.6ab21uyuh_rd, Tel: 0086-1398-6183-871
Liu Guohui, Email: nc.defmoabc.liamdemiuhouguil, Tel: 0086-1360-7164-419
引用本文

周武,曹发奇,曾睿寅,等. 创伤骨科患者围术期下肢静脉血栓形成诊断及防治专家共识(2022年)[J]. 中华创伤杂志,2022,38(01):23-31.

DOI:10.3760/cma.j.cn501098-20210822-00451

PERMISSIONS

Request permissions for this article from CCC.

评价本文
*以上评分为匿名评价
本文评分
5 [累计1个]
下肢深静脉血栓形成(deep vein thrombosis,DVT)是创伤骨科患者的一大并发症,严重影响患者的预后,甚至威胁生命安全。DVT是指血液在深静脉腔内不正常凝结,阻塞静脉腔,导致静脉回流障碍,如未予及时治疗,急性期血栓脱落可并发肺栓塞(pulmonary embolism,PE),后期则因血栓形成后综合征(post-thrombotic syndrome,PTS)影响生活和工作能力。全身主干静脉均可发生DVT,尤其多见于下肢。DVT与PE统称为静脉血栓栓塞症(venous thromboembolism,VTE),是同种疾病在不同阶段的表现形式 1
DVT的临床体征和症状包括局部红肿、疼痛、发热,也有可能出现静脉曲张、可凹性水肿、股三角及腓肠肌区域的压痛。严重情况下,DVT甚至会影响到动脉供血,出现相应肢体的供血不足。在血栓发展过程中,若发生血栓脱落,栓子便会随血流回流入心脏,然后进入肺循环,随着循环血管管径变小,栓子极大可能会栓塞血管,继发PE。此时患者多表现为呼吸困难、胸痛、咯血 2
创伤骨科患者发生DVT的概率较高。据统计,我国创伤骨科患者中DVT年发生率为0.5‰~1‰ 3。而创伤骨科患者DVT发生率为6.4%~12.4%,且以髋周骨折(髋部和骨盆、髋臼骨折)和股骨干骨折DVT发生率为最高,合计超过创伤骨科DVT患者的50%,其次为膝关节周围骨折、胫腓骨骨折等。髋周及下肢骨折DVT占创伤骨科DVT患者的95%以上,而上肢骨折DVT发生率很低 3 , 4 , 5
骨折患者长期卧床致使血流动力学紊乱,且血管内皮的损伤和创伤后血液高凝状态是引发DVT的主要原因 6。虽然创伤骨科患者并发DVT已经引起广泛的关注与研究,但预防和治疗DVT的最佳措施仍在不断发展。因此,笔者结合国内外最新的循证医学证据和广大专家的临床经验,就下肢DVT的诊断与评估、治疗及预防撰写了本共识,旨在为创伤骨科患者下肢DVT的处理提供一套适合我国国情且简便易行的方案,以期改善患者预后,提高其生活质量。
试读结束,您可以通过登录机构账户或个人账户后获取全文阅读权限。
参考文献
[1]
中华医学会外科学分会血管外科学组. 深静脉血栓形成的诊断和治疗指南(第三版)[J/CD]. 中国血管外科杂志:电子版, 201 7 ,94):250-257. DOI: 10.3969/j.issn.1674-7429.2017.04.003 .
返回引文位置Google Scholar
百度学术
万方数据
[2]
宫蓓蕾,许启霞,庞颖颖,. 静脉血栓栓塞症患者临床特征:10年177例病例分析[J]. 中华危重病急救医学, 2019,314):453-457. DOI: 10.3760/cma.j.issn.2095-4352.2019.04.016 .
返回引文位置Google Scholar
百度学术
万方数据
[3]
臧加成,马信龙,马剑雄,. 不同部位骨折深静脉血栓发生率的流行病学研究[J]. 中华骨科杂志, 2016,369):540-545. DOI: 10.3760/cma.j.issn.0253-2352.2016.09.005 .
返回引文位置Google Scholar
百度学术
万方数据
[4]
陆芸,马宝通,郭若霖,. 骨科创伤患者深静脉血栓危险因素的研究[J]. 中华骨科杂志, 2007,279):693-698.
返回引文位置Google Scholar
百度学术
万方数据
[5]
孙健平,张堃,王鹏飞,. 骨折患者近端深静脉血栓形成临床特征及危险因素[J]. 中华创伤杂志, 2019,357):625-630. DOI: 10.3760/cma.j.issn.1001-8050.2019.07.008 .
返回引文位置Google Scholar
百度学术
万方数据
[6]
Di Nisio M , Van Es N , Büller HR . Deep vein thrombosis and pulmonary embolism[J]. Lancet, 2016,38810063):3060-3073. DOI: 10.1016/S0140-6736(16)30514-1 .
返回引文位置Google Scholar
百度学术
万方数据
[7]
Centre for Evidence-Based Medicine. Explanation of the 2011 OCEBM levels of evidence[EB/OL].[ 2021-08-21]. https://www.cebm.ox.ac.uk/resources/levels-of-evidence/explanation-of-the-2011-ocebm-levels-of-evidence.
返回引文位置Google Scholar
百度学术
万方数据
[8]
Khan F , Tritschler T , Kahn SR ,et al. Venous thromboembolism[J]. Lancet, 2021,39810294):64-77. DOI: 10.1016/S0140-6736(20)32658-1 .
返回引文位置Google Scholar
百度学术
万方数据
[9]
Bartlett MA , Mauck KF , Stephenson CR ,et al. Perioperative venous thromboembolism prophylaxis[J]. Mayo Clin Proc, 2020,9512):2775-2798. DOI: 10.1016/j.mayocp.2020.06.015 .
返回引文位置Google Scholar
百度学术
万方数据
[10]
Greenfield LJ , Proctor MC , Rodriguez JL ,et al. Posttrauma thromboembolism prophylaxis[J]. J Trauma, 1997,421):100-103. DOI: 10.1097/00005373-199701000-00017 .
返回引文位置Google Scholar
百度学术
万方数据
[11]
Lin Z , Mi B , Liu X ,et al. Nomogram for predicting deep venous thrombosis in lower extremity fractures[J]. Biomed Res Int, 2021,2021:9930524. DOI: 10.1155/2021/9930524 .
返回引文位置Google Scholar
百度学术
万方数据
[12]
何丽娉,黄敏,杨勇. 彩色多普勒超声对骨折后下肢深静脉血栓及肺动脉栓塞的诊断预测价值[J]. 中国医学装备, 2019,168):47-50. DOI: 10.3969/J.ISSN.1672-8270.2019.08.014 .
返回引文位置Google Scholar
百度学术
万方数据
[13]
Zhang Y , Xia H , Wang Y ,et al. The rate of missed diagnosis of lower-limb DVT by ultrasound amounts to 50% or so in patients without symptoms of DVT: a meta-analysis[J]. Medicine(Baltimore), 2019,9837):e17103. DOI: 10.1097/MD.0000000000017103 .
返回引文位置Google Scholar
百度学术
万方数据
[14]
Yang Y , Zan P , Gong J ,et al. d-Dimer as a screening marker for venous thromboembolism after surgery among patients younger than 50 with lower limb fractures[J]. Clin Appl Thromb Hemost, 2017,231):78-83. DOI: 10.1177/1076029615588784 .
返回引文位置Google Scholar
百度学术
万方数据
[15]
Chang W , Wang B , Li Q ,et al. Study on the risk factors of preoperative deep vein thrombosis(DVT)in patients with lower extremity fracture[J]. Clin Appl Thromb Hemost, 2021,27:10760296211002900. DOI: 10.1177/10760296211002900 .
返回引文位置Google Scholar
百度学术
万方数据
[16]
Kellermair J , Fellner A , Bittinger A ,et al. Soluble platelet endothelial cell adhesion molecule 1(sPECAM-1)improves diagnostic accuracy of d-dimer in patients with suspected deep vein thrombosis(DVT)[J]. J Thromb Thrombolysis, 2020,502):380-385. DOI: 10.1007/s11239-020-02087-7 .
返回引文位置Google Scholar
百度学术
万方数据
[17]
Douek P , Rotzinger DC , Meuli RA ,et al. Impact of CT venography added to CT pulmonary angiography for the detection of deep venous thrombosis and relevant incidental CT findings[J]. Eur J Radiol, 2020,133:109388. DOI: 10.1016/j.ejrad.2020.109388 .
返回引文位置Google Scholar
百度学术
万方数据
[18]
Kaya F , Ufuk F , Karabulut N . Diagnostic performance of contrast-enhanced and unenhanced combined pulmonary artery MRI and magnetic resonance venography techniques in the diagnosis of venous thromboembolism[J]. Br J Radiol, 2019,921095):20180695. DOI: 10.1259/bjr.20180695 .
返回引文位置Google Scholar
百度学术
万方数据
[19]
Fu Q , Liu DX , Kong XC ,et al. Combined MR imaging for pulmonary embolism and deep venous thrombosis by contrast-enhanced MR volume interpolated body examination[J]. Curr Med Sci, 2020,401):192-198. DOI: 10.1007/s11596-020-2164-6 .
返回引文位置Google Scholar
百度学术
万方数据
[20]
Stevens SM , Woller SC , Kreuziger LB ,et al. Antithrombotic therapy for VTE disease: second update of the CHEST guideline and expert panel report[J]. Chest, 2021,1606):e545-e608. DOI: 10.1016/j.chest.2021.07.055 .
返回引文位置Google Scholar
百度学术
万方数据
[21]
Simes J , Becattini C , <x>Ag</x> <x>nelli</x> G ,et al. Aspirin for the prevention of recurrent venous thromboembolism: the INSPIRE collaboration[J]. Circulation, 2014,13013):1062-1071. DOI: 10.1161/CIRCULATIONAHA.114.008828 .
返回引文位置Google Scholar
百度学术
万方数据
[22]
Mai V , Guay CA , Perreault L ,et al. Extended anticoagulation for VTE: a systematic review and meta-analysis[J]. Chest, 2019,1556):1199-1216. DOI: 10.1016/j.chest.2019.02.402 .
返回引文位置Google Scholar
百度学术
万方数据
[23]
Schulman S , Kakkar AK , Goldhaber SZ ,et al. Treatment of acute venous thromboembolism with dabigatran or warfarin and pooled analysis[J]. Circulation, 2014,1297):764-772. DOI: 10.1161/CIRCULATIONAHA.113.004450 .
返回引文位置Google Scholar
百度学术
万方数据
[24]
Arepally GM , Cines DB . Pathogenesis of heparin-induced thrombocytopenia[J]. Transl Res, 2020,225:131-140. DOI: 10.1016/j.trsl.2020.04.014 .
返回引文位置Google Scholar
百度学术
万方数据
[25]
中华医学会骨科学分会. 中国骨科大手术静脉血栓栓塞症预防指南[J]. 中华骨科杂志, 2016,362):65-71. DOI: 10.3760/cma.j.issn.0253-2352.2016.02.001 .
返回引文位置Google Scholar
百度学术
万方数据
[26]
Nilius H , Kaufmann J , Cuker A ,et al. Comparative effectiveness and safety of anticoagulants for the treatment of heparin-induced thrombocytopenia[J]. Am J Hematol, 2021,967):805-815. DOI: 10.1002/ajh.26194 .
返回引文位置Google Scholar
百度学术
万方数据
[27]
Samama CM , Laporte S , Rosencher N ,et al. Rivaroxaban or enoxaparin in nonmajor orthopedic surgery[J]. N Engl J Med, 2020,38220):1916-1925. DOI: 10.1056/NEJMoa1913808 .
返回引文位置Google Scholar
百度学术
万方数据
[28]
Zia MA . Streptokinase: an efficient enzyme in cardiac medicine[J]. Protein Pept Lett, 2020,272):111-119. DOI: 10.2174/0929866526666191014150408 .
返回引文位置Google Scholar
百度学术
万方数据
[29]
Grunwald MR , Hofmann LV . Comparison of urokinase, alteplase, and reteplase for catheter-directed thrombolysis of deep venous thrombosis[J]. J Vasc Interv Radiol, 2004,154):347-352. DOI: 10.1097/01.rvi.0000121407.46920.15 .
返回引文位置Google Scholar
百度学术
万方数据
[30]
Broderick C , Watson L , Armon MP . Thrombolytic strategies versus standard anticoagulation for acute deep vein thrombosis of the lower limb[J]. Cochrane Database Syst Rev, 2021,11):CD002783. DOI: 10.1002/14651858.CD002783.pub5 .
返回引文位置Google Scholar
百度学术
万方数据
[31]
Kearon C , Akl EA , Ornelas J ,et al. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report[J]. Chest, 2016,1492):315-352. DOI: 10.1016/j.chest.2015.11.026 .
返回引文位置Google Scholar
百度学术
万方数据
[32]
Haig Y , Enden T , Grøtta O ,et al. Post-thrombotic syndrome after catheter-directed thrombolysis for deep vein thrombosis(CaVenT):5-year follow-up results of an open-label, randomised controlled trial[J]. Lancet Haematol, 2016,32):e64-e71. DOI: 10.1016/S2352-3026(15)00248-3 .
返回引文位置Google Scholar
百度学术
万方数据
[33]
Makedonov I , Kahn SR , Galanaud JP . Prevention and management of the post-thrombotic syndrome[J]. J Clin Med, 2020,94):923. DOI: 10.3390/jcm9040923 .
返回引文位置Google Scholar
百度学术
万方数据
[34]
陈国平,顾建平,何旭,. 顺行与逆行插管途径介入治疗急性下肢深静脉血栓形成的疗效比较[J]. 中华医学杂志, 2017,975):353-358. DOI: 10.3760/cma.j.issn.0376-2491.2017.05.007 .
返回引文位置Google Scholar
百度学术
万方数据
[35]
楼文胜,顾建平,范春瑛,. 下肢深静脉血栓的经动脉溶栓治疗[J]. 放射学实践, 2002,173):225-227. DOI: 10.3969/j.issn.1000-0313.2002.03.014 .
返回引文位置Google Scholar
百度学术
万方数据
[36]
Karthikesalingam A , Young EL , Hinchliffe RJ ,et al. A systematic review of percutaneous mechanical thrombectomy in the treatment of deep venous thrombosis[J]. Eur J Vasc Endovasc Surg, 2011,414):554-565. DOI: 10.1016/j.ejvs.2011.01.010 .
返回引文位置Google Scholar
百度学术
万方数据
[37]
Loffroy R , Edriss N , Goyault G ,et al. Percutaneous mechanical atherothrombectomy using the Rotarex ® S device in peripheral artery in-stent restenosis or occlusion: a French retrospective multicenter study on 128 patients [J]. Quant Imaging Med Surg, 2020,101):283-293. DOI: 10.21037/qims.2019.11.15 .
返回引文位置Google Scholar
百度学术
万方数据
[38]
Li GQ , Wang L , Zhang XC . AngioJet thrombectomy versus catheter-directed thrombolysis for lower extremity deep vein thrombosis: a meta-analysis of clinical trials[J]. Clin Appl Thromb Hemost, 2021,27:10760296211005548. DOI: 10.1177/10760296211005548 .
返回引文位置Google Scholar
百度学术
万方数据
[39]
Grommes J , Strijkers R , Greiner A ,et al. Safety and feasibility of ultrasound-accelerated catheter-directed thrombolysis in deep vein thrombosis[J]. Eur J Vasc Endovasc Surg, 2011,414):526-532. DOI: 10.1016/j.ejvs.2010.11.035 .
返回引文位置Google Scholar
百度学术
万方数据
[40]
Lichtenberg MKW , Stahlhoff S , Młyńczak K ,et al. Endovascular mechanical thrombectomy versus thrombolysis in patients with iliofemoral deep vein thrombosis -a systematic review and meta- analysis[J]. Vasa, 2021,501):59-67. DOI: 10.1024/0301-1526/a000875 .
返回引文位置Google Scholar
百度学术
万方数据
[41]
Tang T , Chen L , Chen J ,et al. Pharmacomechanical thrombectomy versus catheter-directed thrombolysis for iliofemoral deep vein thrombosis: a meta-analysis of clinical trials[J]. Clin Appl Thromb Hemost, 2019,25:1076029618821190. DOI: 10.1177/1076029618821190 .
返回引文位置Google Scholar
百度学术
万方数据
[42]
Rabuffi P , Vagnarelli S , Bruni A ,et al. Pharmacomechanical catheter-directed thrombolysis for acute iliofemo ral deep vein thrombosis: our case series [J]. Eur Rev Med Pharmacol Sci, 2019,235):2244-2252. DOI: 10.26355/eurrev_201903_17272 .
返回引文位置Google Scholar
百度学术
万方数据
[43]
Pouncey AL , Gwozdz AM , Johnson OW ,et al. AngioJet pharmacomechanical thrombectomy and catheter irected thrombolysis vs. Catheter directed thrombolysis alone for the treatment of iliofemoral deep vein thrombosis: a single centre retrospective cohort study[J]. Eur J Vasc Endovasc Surg, 2020,604):578-585. DOI: 10.1016/j.ejvs.2020.05.006 .
返回引文位置Google Scholar
百度学术
万方数据
[44]
王会敏. 七叶皂苷钠在下肢深静脉血栓患者术后治疗中的应用观察[J]. 实用中西医结合临床, 2021,211):25-26. DOI: 10.13638/j.issn.1671-4040.2021.01.009 .
返回引文位置Google Scholar
百度学术
万方数据
[45]
Li KX , Diendéré G , Galanaud JP ,et al. Micronized purified flavonoid fraction for the treatment of chronic venous insufficiency, with a focus on postthrombotic syndrome: a narrative review[J]. Res Pract Thromb Haemost, 2021,54):e12527. DOI: 10.1002/rth2.12527 .
返回引文位置Google Scholar
百度学术
万方数据
[46]
王学虎,王昆,肖乐,. 迈之灵片在下肢深静脉血栓形成治疗中的疗效观察[J]. 中国医药, 2012,72):190-191. DOI: 10.3760/cma.j.issn.1673-4777.2012.02.028 .
返回引文位置Google Scholar
百度学术
万方数据
[47]
王玉涛,宋晓勇. 地奥司明对围术期骨折患者深静脉血栓形成和凝血功能的影响[J]. 实用临床医药杂志, 2014,1813):119-121. DOI: 10.7619/jcmp.201413040 .
返回引文位置Google Scholar
百度学术
万方数据
[48]
Segal JB , Streiff MB , Hofmann LV ,et al. Management of venous thromboembolism: a systematic review for a practice guideline[J]. Ann Intern Med, 2007,1463):211-222. DOI: 10.7326/0003-4819-146-3-200702060-00150 .
返回引文位置Google Scholar
百度学术
万方数据
[49]
Pedersen AB , Mehnert F , Johnsen SP ,et al. Venous thromboembolism in patients having knee replacement and receiving thromboprophylaxis: a danish population-based follow-up study[J]. J Bone Joint Surg Am, 2011,9314):1281-1287. DOI: 10.2106/JBJS.J.00676 .
返回引文位置Google Scholar
百度学术
万方数据
[50]
中国健康促进基金会血栓与血管专项基金专家委员会. 静脉血栓栓塞症机械预防中国专家共识[J]. 中华医学杂志, 2020,1007):484-492. DOI: 10.3760/cma.j.issn.0376-2491.2020.07.002 .
返回引文位置Google Scholar
百度学术
万方数据
[51]
Weinberger J , Cipolle M . Mechanical prophylaxis for post-traumatic VTE: stockings and pumps[J]. Curr Trauma Rep, 2016,21):35-41. DOI: 10.1007/s40719-016-0039-x .
返回引文位置Google Scholar
百度学术
万方数据
[52]
Chopard R , Albertsen IE , Piazza G . Diagnosis and treatment of lower extremity venous thromboembolism: a review[J]. JAMA, 2020,32417):1765-1776. DOI: 10.1001/jama.2020.17272 .
返回引文位置Google Scholar
百度学术
万方数据
[53]
Tran A , Fernando SM , Carrier M ,et al. Efficacy and safety of low molecular weight heparin versus unfractionated heparin for prevention of venous thromboembolism in trauma patients: a systematic review and meta-analysis[J]. Ann Surg, 2022,2751):19-28. DOI: 10.1097/SLA.0000000000005157 .
返回引文位置Google Scholar
百度学术
万方数据
[54]
Feng W , Wang X , Huang D ,et al. Ranking the efficacy of anticoagulants for the prevention of venous thromboembolism after total hip or knee arthroplasty: a systematic review and a network meta-analysis[J]. Pharmacol Res, 202 1 ,166:105438. DOI: 10.1016/j.phrs.2021.105438 .
返回引文位置Google Scholar
百度学术
万方数据
[55]
Lim GB . Rivaroxaban prevents VTE in orthopaedic surgery[J]. Nat Rev Cardiol, 2020,176):320. DOI: 10.1038/s41569-020-0377-9 .
返回引文位置Google Scholar
百度学术
万方数据
[56]
Rappold JF , Sheppard FR , Carmichael Ii SP ,et al. Venous thromboembolism prophylaxis in the trauma intensive care unit: an American association for the surgery of trauma critical care committee clinical consensus document[J]. Trauma Surg Acute Care Open, 2021,61):e000643. DOI: 10.1136/tsaco-2020-000643 .
返回引文位置Google Scholar
百度学术
万方数据
[57]
National Guideline Centre(UK). Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism[M]. 1st ed. London:National Institute for Health and Care Excellence(NICE), 2019:6-27.
[58]
Falck-Ytter Y , Francis CW , Johanson NA ,et al. Prevention of VTE in orthopedic surgery patients: antithrombotic therapy and prevention of thrombosis, 9th ed: American college of chest physicians evidence-based clinical practice guidelines[J]. Chest, 2012,1412Suppl):e278S-e325S. DOI: 10.1378/chest.11-2404 .
返回引文位置Google Scholar
百度学术
万方数据
[59]
Gould MK , Garcia DA , Wren SM ,et al. Prevention of VTE in nonorthopedic surgical patients: an tithrombotic therapy and prevention of thrombosis, 9th ed: American college of chest physicians evidence-based clinical practice guidelines [J]. Chest, 2012,1412Suppl):e227S-e277S. DOI: 10.1378/chest.11-2297 .
返回引文位置Google Scholar
百度学术
万方数据
[60]
Afshari A , Ageno W , Ahmed A ,et al. European guidelines on perioperative venous thromboembolism prophylaxis: executive summary[J]. Eur J Anaesthesiol, 2018,352):77-83. DOI: 10.1097/EJA.0000000000000729 .
返回引文位置Google Scholar
百度学术
万方数据
备注信息
A

张英泽、胡豫、刘国辉:共识选题及设计、共识修改及审定、经费支持;其他作者参与共识讨论、撰写及修改

B
张英泽,Email: mocdef.6ab21gnahzzyrd,电话:13313012888
C
胡豫,Email: mocdef.6ab21uyuh_rd,电话:13986183871
D
刘国辉,Email: nc.defmoabc.liamdemiuhouguil,电话:13607164419
E

周武, 曹发奇, 曾睿寅, 等. 创伤骨科患者围术期下肢静脉血栓形成诊断及防治专家共识(2022年)[J]. 中华创伤杂志, 2022, 38(1): 23-31. DOI: 10.3760/cma.j.cn501098-20210822-00451.

F
所有作者声明不存在利益冲突
G
国家重点研发计划 (2018YFC2001500)
评论 (0条)
注册
登录
时间排序
暂无评论,发表第一条评论抢沙发
MedAI助手(体验版)
文档即答
智问智答
机器翻译
回答内容由人工智能生成,我社无法保证其准确性和完整性,该生成内容不代表我们的态度或观点,仅供参考。
生成快照
文献快照

你好,我可以帮助您更好的了解本文,请向我提问您关注的问题。

0/2000

《中华医学会杂志社用户协议》 | 《隐私政策》

《SparkDesk 用户协议》 | 《SparkDesk 隐私政策》

网信算备340104764864601230055号 | 网信算备340104726288401230013号

技术支持:

历史对话
本文全部
还没有聊天记录
设置
模式
纯净模式沉浸模式
字号