腹盆部肿瘤患者围术期深静脉血栓形成预防的研究进展

Research progress on prevention of deep venous thrombosis among abdominal and pelvic cancer patients during perioperative period

腹盆部肿瘤手术患者是DVT风险最为高危的群体之一,其围术期DVT预防管理与普通外科患者有所区别,但目前实践中仍缺乏较为统一的预防规范。本文总结了腹盆部肿瘤手术患者DVT的高危因素及风险评估方法,并将着重介绍日常护理、物理机械、抗凝药物3类预防措施,探讨联合预防和延长预防期限的研究成果,从而归纳出在腹盆部肿瘤患者围术期已达成共识的DVT预防方案。

Patients with abdominal and pelvic cancer surgery are considered as one of the groups with the highest risk of deep venous thrombosis (DVT).Perioperative DVT preventive management is different from that of general surgery.However,current practice lacks uniform prevention norms.This paper summarized the high risk factors and risk assessment methods of DVT among patients with abdominal and pelvic cancer surgery. Besides,this paper emphatically introduced three kinds of preventive measures including daily care,physical machinery and anticoagulant drugs to explore the research findings of combined prevention and extension of prevention maturity so as to induce the perioperative DVT prevention programs reached a consensus for patients with abdominal and pelvic cancer.