蛛网膜下腔出血患者并发下肢深静脉血栓的危险因素及预防策略
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朱德军(1965- ),男,副主任医师.E-mail:956873042@qq.com.

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Risk factors of deep veins thrombosis in the lower limbs of patients with subarachnoid hemorrhage and prevention strategies
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    摘要:

    目的: 探讨蛛网膜下腔出血(SAH)患者并发下肢深静脉血栓(LDVT)的危险因素和预防策略.方法: 对98例蛛网膜下腔出血患者进行双下肢血管超声检查,根据是否发生LDVT分为LDVT组和对照组,对患者长期卧床、血浆纤维蛋白原、股静脉穿刺、静脉曲张、高血压、性别、吸烟、饮酒、糖尿病、肥胖、Hunt和Hess分级等相关因素与LDVT的相关性进行分析.结果: 98例蛛网膜下腔出血患者中LDVT组18例(18.37%),对照组80例(81.63%).高龄、长期卧床、股静脉穿刺、高血压、高血浆纤维蛋白原、Hunt和Hess分级高为LDVT较显著的危险因素(P<0.05);而静脉曲张、饮酒、吸烟、糖尿病、肥胖、性别等因素与LDVT无显著相关性.结论: 蛛网膜下腔出血合并LDVT患者多见于年龄偏大、合并高血压等、Hunt和Hess分级较高,血浆纤维蛋白原水平较高、股静脉穿刺者.

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    Objective: To identify the risk factors of deep veins thrombosis in the lower limbs(LDVT) of patients with subarachnoid hemorrhage and prevention strategies.Methods: Ninety-eight patients were classified into two groups:LDVT and control groups according to vascular ultrasound results.Possible risk factors of LDVT,such as long-term bed,plasma fibrinogen level,venipuncture of femoral vein,varicose veins,hypertension,sex,age,smoking,alcohol drinking,diabetes,obesity,Hunt and Hess grade,were analyzed.Results: Eighteen patients suffered from LDVT(18.37%).Age,long-term bed,plasma fibrinogen level,venipuncture of femoral vein,hypertension,Hunt and Hess grade were independent risk factors for LDVT.Conclusions: Old age,long-term bed,high level of plasma fibrinogen,venipuncture of femoral vein,hypertension,high Hunt and Hess grade are the risk factors of LDVT after subarachnoid hemorrhage.

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黎伟, 闫爱萍, 李文彬, 朱德军456.蛛网膜下腔出血患者并发下肢深静脉血栓的危险因素及预防策略[J].国际神经病学神经外科学杂志,2012,39(6):504-506111LI Wei, YAN Ai-Ping, LI Wen-Bin, ZHU De-Jun222. Risk factors of deep veins thrombosis in the lower limbs of patients with subarachnoid hemorrhage and prevention strategies[J]. Journal of International Neurology and Neurosurgery,2012,39(6):504-506

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  • 收稿日期:2012-11-01
  • 最后修改日期:2012-12-05
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  • 在线发布日期: 2012-12-28
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