术后急性血栓事件的高危因素分析及预防方法初探

Analysis of High Risk Factors and Prevent Methods in Acute Thrombus Events after Operation

目的探讨术后发生急性血栓事件的相关风险因子及预防方法,为减少术后急性血栓事件提供帮助。方法回顾性分析我院2002年7月～2006年7月17例术后发生急性血栓事件和16例相同条件但术后未发生血栓事件的病例,并进行比较,从而找出与术后急性血栓事件相关的高危因素及预防方法。结果术后血白细胞数、CRP和纤维蛋白原增高是术后急性血栓事件的独立危险因子;术前使用活血化瘀中药对术后急性血栓事件有一定的预防作用。结论术后炎性反应及血液高凝聚性是术后发生急性血栓的主要危险因素,可采用活血化瘀类中药予以预防,单纯使用抗生素治疗无明显预防作用。

Objective： To discuss related risk factors and prevent methods in acute thrombus events after operation so that providing resources for descending these acute events. Methods： It was analyzed retrospectively that 17 cases of acute thrombus events after operation and 16 cases of no occurrence thrombus events from July, 2002 to July, 2006. And then, related risk factors and prevent methods were searched from this analysis. Results： There were several indepen- dence risk factors including WBC numbers after operation and ascending of CRP and FIB. If promoting blood circulation medicines were used before operations, acute thrombosis events would be prevented. Conclusion： The inflammation reaction and the blood agglutinate are major risk factors of acute thrombus events after operation. The promoting blood circulation herb could be used for preventing these events, but using antibiotic simply would be not prevented obviously.