重型颅脑创伤患者静脉血栓形成的原因及诊治

Causes and treatments of severe craniocerebral trauma patients with venous thromboembolism

目的：分析探讨重型颅脑创伤患者静脉血栓形成的原因及诊断治疗措施．方法：回顾性分析35例重型颅脑损伤并下肢深静脉血栓形成患者的临床资料．结果：35例患者经溶栓、抗凝、抗血小板聚集和抗感染，手术介入等综合治疗后，临床症状均有不同程度的缓解，其中治愈23例（65．7％），有效缓解11例，感染死亡1例．结论：重型颅脑损伤患者存在并发下肢深静脉血栓形成的危险因素，采取综合治疗措施有利于改善预后，提高治疗效果．

AIM：Analysis on the causes and measures for diagnosis and treatment of severe craniocerebral trauma patients with venous thromboembolism.METHODS：A retrospective analysis of 35 cases of severe craniocerebral injury and clinical data of patients with deep vein thrombosis of lower extremity.RESULTS：35 patients were treated by thrombolysis,anticoagulation,antiplatelet aggregation and anti infection treatment, and clinical symptoms were relieved in different degree,23 cases were cured （65 .7%）,effective remission in 11 cases,1 case died of infection.CONCLUSION：There are some risk factors of deep venous thrombosis in patients with severe craniocerebral injury,adopting comprehensive treatment can improve the prognosis and the therapeutic effect.