原发性脑出血后静脉血栓栓塞的预防被引量：5

Prevention of venous thromboembolism after primary intracerebral hemorrhage

导出

摘要静脉血栓栓塞包括深静脉血栓形成和肺栓塞，是神经科较为常见且可以预防的并发症。对静脉血栓栓塞的预防是脑出血患者治疗中的重要组成部分，其措施包括机械预防和药物预防。机械性预防措施包括间歇气动加压装置和梯度压力弹力袜。研究提示，抗凝药预防亦发挥着重要的作用。全面系统地了解脑出血后静脉血栓栓塞的预防，将有助于指导临床和改善患者的转归。 Venous thromboembolism includes deep venous thrombosis and pulmonary embolism. It is a more common and preventable complication in neurology. The prevention of venous thromboembolism is an important component in the treatment of the patients with cerebral hemorrhage. The measures include mechanical prevention and drug prevention. The mechanical prevention measures include intermittent pneumatic compression devices and pressure gradient elastic stockings. Studies have suggested that anticoagulants also plays an important role in the prevention of venous thromboembolism. The comprehensive and systematic understanding of the prevention of venous thromboembolism wil help to guide the clinical therapy and improve the outcomes of patients after primary intracerebral hemorrhage.

作者李佩佩王金荣马耿高秀玲崔朝勃

机构地区河北医科大学附属衡水哈励逊国际和平医院呼吸与重症医学科

出处《国际脑血管病杂志》 2016年第3期244-247,共4页 International Journal of Cerebrovascular Diseases

关键词脑出血静脉血栓形成静脉血栓栓塞肺栓塞抗凝药肝素低分子量长袜压缩间歇气动加压装置 Cerebral Hemorrhage Venous Thrombosis Venous Thromboembolism Pulmonary Embolism Anticoagulants Heparin,Low-Molecular-Weight Stockings,Compression Intermittent Pneumatic Compression Devices

分类号 R743.34 [医药卫生—神经病学与精神病学]

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参考文献33

1WarlowC, OgstonD, DouglasAS. Deep venous thrombosis of the legs after strokes: Part 2—Natural history[J]. Br Med J, 1976, 1(6019): 1181-1183. DOI: 10.1136/bmj.1.6019.1181.
2SkafE, SteinPD, BeemathA, et al. Venous thromboembolism in patients with ischemic and hemorrhagic stroke[J]. Am J Cardiol, 2005, 96(12): 1731-1733. DOI: 10.1016/j.amjcard.2005.07.097.
3GregoryPC, KuhlemeierKV. Prevalence of venous thromboembolism in acute hemorrhagic and thromboembolic stroke[J]. Am J Phys Med Rehabil, 2003, 82(5): 364-369. DOI: 10.1097/00002060-200305000-00008.
4KimKS, BrophyGM. Symptomatic venous thromboembolism: incidence and risk factors in patients with spontaneous or traumatic intracranial hemorrhage[J]. Neurocrit Care, 2009, 11(1): 28-33. DOI: 10.1007/s12028-009-9201-4.
5ZubkovAY, WijdicksEF. Deep venous thrombosis prophylaxis in cerebral hemorrhage[J]. Rev Neurol Dis, 2009, 6(1): 21-25.
6ZengZ, HuZ, ZhangJ. Venous thromboembolism prevention during the acute phase of intracerebral hemorrhage[J]. J Neurol Sci, 2015, 358(1-2): 3-8. DOI: 10.1016/j.jns.2015.08.026.
7LacutK, BressolletteL, Le GalG, et al; VICTORIAh (Venous Intermittent Compression and Thrombosis Occurrence Related to Intra-cerebral Acute hemorrhage) Investigators. Prevention of venous thrombosis in patients with acute intracerebral hemorrhage[J]. Neurology, 2005, 65(6): 865-869. DOI: 10.1212/01.wnl.0000176073.80532.a2.
8CLOTS (Clots in Legs Or sTockings after Stroke) Trial Collaboration. Thigh-length versus below-knee stockings for deep venous thrombosis prophylaxis after stroke: a randomized trial[J]. Ann Intern Med, 2010, 153(9): 553-562. DOI: 10.7326/0003-4819-153-9-201011020-00280.
9NaccaratoM, Chiodo GrandiF, et al. Physical methods for preventing deep vein thrombosis in stroke[J]. Cochrane Database Syst Rev, 2010, (8): CD001922. DOI: 10.1002/14651858.CD001922.pub3.
10SteinerT, Al-Shahi SalmanR, BeerR, et al; European Stroke Organisation. European Stroke Organisation (ESO) guidelines for the management of spontaneous intracerebral hemorrhage[J]. Int J Stroke, 2014, 9(7): 840-855. DOI: 10.1111/ijs.12309.

二级参考文献53

1荆志成,邓可武.急性肺动脉血栓栓塞症的溶栓治疗[J].中华医学杂志,2004,84(22):1932-1934. 被引量：20
2王文志,刘红梅,李涤.微创穿刺术治疗基底节区脑出血临床随机对照研究[J].中国现代神经疾病杂志,2005,5(2):79-83. 被引量：81
3邹治鹏,何建国,程显声,赵彦芬,陈白屏,高莹,熊长明,倪新海,荆志诚.230例急性肺动脉血栓栓塞症患者对症治疗、抗凝治疗和溶栓治疗的住院转归[J].中国循环杂志,2006,21(3):219-221. 被引量：27
4Yalamanchili K, Fleisher AG, Lehrman SG, et al. Open pulmonary embolectomy for treatnlent of major pulmonary embolism. Ann Thorae Surg, 2004,77:819-823.
5Hann CL, Streiff MB. The role of vena caval filters in the management of venous thromboembolism. Blood Rev, 2005, 19 : 179-202.
6PREPIC Study Group. Eight-year follow-up of patients with permanent vena cava filters in the prevention of pulmonary embolism: the PREPIC (Prevention du Risque d' Embolie Pulmonaire par Interruption Cave) randomized study. Circulation, 2005,112:416-422.
7Karmy-Jones R, Jurkovich GJ, Velmahos GC, et al. Practice patterns and outcomes of retrievable vena cava filters in trauma patients : an AAST multicenter study. J Trauma, 2007,62 : 17-24.
8Barral FG. Vena cava filters: why, when, what and how? J Cardiovasc Surg (Torino) , 2008,49:35-49.
9Meyer G, Sors H, Charbonnier B, et al. Effects of intravenous urokinase versus alteplase on total pulmonary resistance in acute massive pulmonary embolism : a European nmlticenter double-blind trial. The European Cooperative Study Group for Pulmonary Embolism. J Am Coll Cardiol, 1992, 19:239-245.
10Dalla-Volta S, Palla A, Santolicandro A, et al. PALMS 2: aheplase combined with heparin versus heparin in the treatment of acute pulmonary embolism. Plasminogen activator Italian multicenter study 2. J Am Coll Cardiol, 1992, 20:520-526.