脑卒中并下肢深静脉血栓形成的临床分析

A clinical analysis of pelvic limb deep venous thromboembolism with stroke

目的:探讨脑卒中并发下肢深静脉血栓形成(deep vein thrombosis,DVT)的临床特点和危险因素。方法: 分析35例住院的脑卒中并下肢深静脉血栓形成患者的临床资料并与40例同期住院的非DVT卒中患者作对照。结果: 脑卒中患者发生DVT的平均时间是在住院的第18天;31例DVT发生在瘫痪侧肢体,4例在双侧;29例发生在小腿,6 例累及大腿:肌力0～2级共28例,3级以上7例;有股静脉穿刺置管史19例,DVT平均发生在置管后第14天;DVT患者的平均血浆纤维蛋白浓度为4．82g／L,明显高于对照组的平均数2．70g／L(P<0．05)。结论:DVT是脑卒中的常见并发症,重度肢体瘫痪、股静脉置管、血浆纤维蛋白原增高等是发生DVT的高危因素。

Objective： To essay the clinical features and dangerous factors of pelvic limb deep venous thromboembolism （DVT）for patients with poststroke. Methods： 35 patients clinical data were analyzed who had DVT in hospitalization at department of neurology. Results： DVT occurred in mean eighteenth day after hospitalization. 31 DVT occurred in paralysed limb and 4 in two limb, 29 in blow knee and 6 involved thigh. 0--2 degree muscle force 28 cases, above 2 degree 7 cases. There were 19 cases with thigh intravenous putted tract, DVT occurred in the fourteenth after intravenous putted tract. The average of plasma fiberiogen in patients with DVT was 4.82g/L, which was far higher than those in non-DVT group （P〈0.05） Conclusion： DVT is one of the common complications poststroke. Theheavylimbparalysis, thigh veinintubation , increasing plasma fibrinogen might be high dangerous factors for poststroke with DVT.