心力衰竭、脑卒中、肿瘤及骨伤病下肢深静脉血栓形成及肺栓塞发生率的临床流行病学调查

The Morbidity of DVT with Heart Failure,Stroke,Cancer and Bone Trauma of Low Extremity,and PE in DVT

目的通过对四种病症的临床流行病学调查 ,初步了解该病症下肢深静脉血栓形成 (DVT )及肺栓塞(PE)的发生率。方法采用问卷、查体及多普勒超声技术 ,对骨伤病 (10 4例 )、肿瘤 (10 6例 )、心力衰竭 (10 0例 )及脑卒中 (12 0例 )四种病症共 430例 ,未服用阿司匹林等抗凝剂的患者进行了双下肢深静脉血栓形成检查。同时 ,对在DVT专业门诊就医并被诊断为下肢深静脉血栓形成的 36例患者 ,做了放射性核素肺灌注扫描检查 ,以发现肺栓塞。结果在 430例患者中 ,共发现 18例下肢深静脉血栓形成 ,发生率为 4.2 %。其中心力衰竭 5例 (5 % ) ;肿瘤 3例(2 .83% ) ;骨伤病 2例 (1.92 % ) ;脑卒中 8例 (6 .6 7% )。 36例 DVT患者中 ,共查出 4例肺栓塞 ,检出率为 11.11%。结论国人上述四种病症 DVT发生率明显低于西方人群。 DVT患者

Objective To investigate morbidity of deep venous thromb os is(DVT) in patients with congestive heart failure,cancer,stroke and bone trauma of low extremity,meanwhile,to estimate incidence of pulmonary embolism(PE) among patients with DVT.Methods DVT was detected with Doppler technique i n 430 consecutive patients with cancer(106 cases),stroke(120),bone trauma of low extremity (104) and congestive heart failure(100) who did not accept any antico agulant before.PE was diagnose using radionuclide pulmonary ventilation/perf usio n scan in 36 DVT patients.Results 18 DVT cases were found among 430 patients,the incidence was 4.2%.Of them,5 cases(5%) in congestive heart failure, 3 cases(2.83%) in cancer,2(1.92%) cases in bone trauma of low extremity,8(6.67%) cases in stroke.4 cases of PE were found among 36 patients with DVT.The morbidi t y of PE was 11.11%.Conclusion The morbidities of DVT,PE in investiga ted inpatients were less than those in Western Country.The DVT in right lower ex tremity was likely to lead to PE.\;