摘要
静脉血栓栓塞症(venous thromboembolism,VTE)作为医学领域中极为常见的疾病,被认为是临床中非预期死亡的主要诱因,也是骨科大手术后围术期死亡的主要原因。VTE高发于骨科疾病,尤其是各类创伤、关节置换以及脊髓损伤等。然而目前国内医护人员普遍存在对VTE认识不足、防治意识薄弱等问题,即使VTE诊断及时,也可能因抗凝治疗的强度和疗程不规范,造成患者死亡、残疾的悲剧。这严重影响了我国VTE防治研究工作的开展,成为目前我国医学界亟需解决的问题。对于VTE高发的骨科,科室医护人员掌握VTE防治方法以及构建预防体系显得迫切而必要。针对VTE相关内容进行研究,构建科学、系统的预防体系,加强相关医务人员VTE知识培训力度,实施全面筛查和防治,可从根本上减少医院内病患VTE发病和死亡数量,是当前医院管理层与医护工作者必须要重视的课题。本文就骨科血栓预防体系与防治措施现状作阐述。
As a very common disease during hospitalization, venous thromboembolism(VTE) is identified as the primary reason of unanticipated death and perioperative death after orthopedic surgery. It shows a high incidence in orthopedic diseases, especially in various kinds of trauma, joint replacement, spinal cord injury and so on. Currently, the general understanding of VTE is still inadequate among medical staff in China. Even VTE is diagnosed in time, many patients are disabled or dead as the intensity and duration of anticoagulation therapy is not standardized, which has seriously affected prevention of VTE and now becomes a research hotspot in Chinese medical community. For the high incidence of VTE in orthopedics, it is very necessary for medical staffs to know prevention and treatment of VTE and the establishment of its preventive system. It is of great significance for hospital administrators and medical staffs to strengthen their knowledge of VTE which may help them to build a scientific prevention system and make a comprehensive screening, so as to reduce the number of hospital-acquired VTE and deaths. This paper describes the thromboprophylaxis system, VTE prevention and treatment in orthopedic department.
作者
高远
龙安华
孟钰童
雷明星
刘明丽
皮红英
GAO Yuan;LONG Anhua;MENG Yutong;LEI Mingxing;LIU Mingli;PI Hongying(Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China)
出处
《解放军医学院学报》
CAS
2018年第5期447-450,共4页
Academic Journal of Chinese PLA Medical School
基金
部委级资助项目
全军医学科技青年培育计划项目(16QNP141)
解放军总医院医疗大数据研发项目(2016MBD-006)~~
关键词
静脉血栓栓塞症
预防体系
骨科手术
venous thromboembolism
prevention system
orthopedic surgery