围手术期静脉血栓栓塞症预防与管理的关键问题分析

Analysis of Key Issues in the Prevention and Management of Perioperative Venous Thromboembolism

近几年,围术期静脉血栓栓塞症(VTE)逐步被外科医师所重视,但是,许多外科医生对这一疾病依旧具有部分误区。对于亚洲人群,其VTE的总发生率对比欧美人群更低,这一传统性观念应得到改正、更新;不相同种类的普通外科手术所引发的VTE具有自己的特征,所有外科医生均应掌握。在VTE有关的危险分层中,指南所推荐使用的风险评估工具不可以随意进行简化,还应准确选取抗凝对策。处于转化医学、加速康复外科等有关理念的辅助下,防控VTE一定会得到更为良好的效果。

In recent years,perioperative venous thromboembolism(VTE)has gradually been paid attention to by surgeons,but many surgeons still have some misunderstandings about this disease.For Asian populations,the traditional concept that the total incidence of VTE is lower than that of European and American populations should be corrected and updated;VTE caused by different types of general surgery has its own characteristics,and all surgeons should master it.In the risk stratification related to VTE,the risk assessment tools recommended by the guidelines cannot be simplified at will,and anticoagulation countermeasures should be selected accurately.With the assistance of translational medicine,accelerated rehabilitation surgery and other related concepts,the prevention and control of VTE will definitely achieve better results.