创伤后静脉血栓症的预防研究进展

Progress on prevention of venous thromboembolism after trauma

静脉血栓症(VTE)包括深静脉血栓形成(DVT)和肺栓塞(PE),是一种风险极高、潜在的致死性疾病,对于创伤患者更是如此。但VTE是可以预防的,目前已经有预防骨科择期手术VTE指南,但关于创伤患者预防VTE的临床证据尚显不足,为此笔者回顾了相关文献,对一些基本原则进行概述,并重点对预防措施和部分争论点进行综合分析。

Venous thromboembolism （ VTE ） includes deep venous thrombosis （DVT） and pulmonary embolism（PE） ,which is a high-risk and potentially fatal disease, especially for trauma patients. But VTE is preventable. Now there is a guide for the prevention of VTE in elective orthopedic operation, but clinical evidence on the prevention of VTE in trauma patients is insufficient. Therefore ,we review the related literature, summarize some basic principles,and focus on the analysis of prevention measures and partial contention on VTE in trauma patients.