腹腔镜胃肠道手术病人围手术期静脉血栓栓塞症预防及对策

Prevention and treatment of venous thromboembolism in patients during the perioperative period of laparoscopy gastrointestinal surgery

静脉血栓栓塞症(VTE)是腹腔镜胃肠道手术致命性并发症,目前尚无可靠的实验室指标来预防其发生。Caprini评分后的多模式预防是目前最常用的VTE预防策略。可归纳为:"一评分"即使用Caprini评分;"二方法"指VTE的预防方法分为物理预防和药物预防;"三监测"是指病人需要进行临床、实验室和影像学三方面监测;"四阶段"指VTE预防需要覆盖术前、术中、术后和院外四个阶段。

Venous thromboembolism （VTE） can be a fatal complication of laparoscopic gastrointestinal surgery. Beyond by laboratory tests to predict the occurrence of VTE temporarily, the muhimodal prevention after Caprini score is by far the most commonly used for VTE prevention strategy, which we summarized as ＂a score＂ that is using the Caprini score; ＂two methods＂ refers to the VTE prevention methods are divided into physical prevention and drug prevention; ＂three monitoring＂ refers to the patient needs of clinical, laboratory and imaging three aspects of monitoring; ＂four-stage ＂refers to the need to cover VTE preoperative, intraoperative, postoperative and hospital four stages.