胸部术后下肢深静脉血栓形成多因素分析及治疗体会

Factors contributing to lower limb deep vein thrombosis after thoracic surgery and treatment experience

目的:探讨接受胸部手术后患者下肢静脉血栓形成的危险因素及早期预防措施。方法:回顾性分析郑州大学第一附属医院胸外科2012年1月至2012年6月行胸部手术94例患者的临床资料,对其性别、年龄、术前是否合并内科疾病、病理结果、手术时间、手术方式、输血、卧床时间、术后肺部感染等进行多因素Logistic回归分析,并观察治疗效果。结果:术后出现下肢深静脉血栓27例,血栓的发生与年龄、病理结果、手术时间、术后肺部感染有关。结论:高龄、恶性肿瘤、手术时间长、术后肺部感染均是术后发生下肢静脉血栓形成的独立危险因素,在"预防窗口期"采取综合措施效果好。

Objective： To investigate the risk factors of deep vein thrombosis in patients after thoracic surgery and early prevention measures. Methods： A retrospective study was conducted in 94 patients in our department from January 2012 to June 2012. The following factors were evaluated： such as gender, age, combined medical illness before operation, pathological findings, operation time, operation methods, blood transfusion, bed time, postoperative lung infection, etc. Multivariate logistic regression analysis was used to find the predictors of deep vein thrombosis in patients after thoracic surgery. Treatment effect was also observed. Results： Twenty-seven patients developed deep venous thrombosis after chest surgery. Age, pathological type, operation time, postoperative pulmonary infection were related to postoperative deep vein thrombosis. Conclusion： old age, malignancy ,long operation time, postoperative pulmonary infection are independent risk factors for postoperative deep vein thrombosis. Good results would be reached if taking comprehensive measures in ＂prevention window period＂.