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恶性肿瘤中心静脉置管术后血栓形成的预防 被引量:7

Prevention of postoperative thrombosis after central venous catheter for malignant tumor
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摘要 目的探讨中心静脉置管术后低分子肝素预防血栓形成的临床意义。方法对该院收治的进行中心静脉置管术的恶性肿瘤患者按随机数字表分成治疗组和对照组。治疗组230例在中心静脉置管术后采用低分子肝素抗凝治疗,对照组230例不予抗凝治疗。结果治疗组发生血栓10例,对照组发生血栓26例,两组比较差异有统计学意义(P<0.05);在Caprini评分中极高危患者的血栓发生率较高危患者发生率高,但无统计学意义(P>0.05)。结论恶性肿瘤患者中心静脉置管术后给予低分子肝素抗凝治疗,副反应轻,血栓的发生率明显下降,有临床推广意义。 Objective To explore the clinical significance of low molecular heparin in the prevention of postoperative thrombosis after central venous catheter for malignant tumor. Methods 460 patients with malignant tumor who were admitted to our hospital and were indwelled central venous catheter were randomly divided into a treatment group and a control group according to the random number table.230 patients of the treatment group were given anticoagulant therapy with low molecular heparin after central venous catheter, while 230 patients of the control group were not given anticoagulant therapy. Results 10 patients in the treatment group were founded thrombosis,while 26 patients in the control group were founded thrombosis.The difference between two groups was statistically significant(P〈0.05),and had statistical significance;However,the Caprini score of the thrombosis incidence of ultra high-risk patients was relatively high compared with that of the high-risk patients,but the difference had no statistical significance(P〈0.05). Conclusion Anticoagulation therapy with low molecular heparin after central venous catheter for malignant tumor has little side effects,can significantly decrease incidence of thrombosis and has clinical promotion significance.
出处 《中国医药科学》 2015年第16期160-162,179,共4页 China Medicine And Pharmacy
关键词 中心静脉置管 血栓 低分子肝素 抗凝 Central Venous Catheter Thrombosis Low molecular heparin Anticoagulation
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