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目的:研究30例妇产科术后下肢深静脉血栓形成的临床治疗,降低下肢深静脉血栓形成率,提高其诊断率和治疗率。方法:分别回顾调查医院内2014年10月到2017年2月收治的30例妇产科术后下肢深静脉血栓形成患者,所有患者采用卧床休养、消除炎症、缓解疼痛等一般治疗方法,为预防血栓的形成,患者需要进行抗凝治疗、溶栓治疗和抗血小板疗法。所采用的抗凝药物为低分子肝素钠或者是低分子肝素钙。主要的抗血小板药物有右旋糖酐和潘生丁。结果:所有患者均痊愈离开医院。超声检查静脉血栓溶栓消失的患者有8例,患者深静脉血流畅通无阻,静脉血栓溶栓体积减小的患者有10例,患者深静脉血流部分再通。结论:当患者在术后有下肢深静脉血栓形成的临床症状出现时,医务人员需要及时给患者进行抗凝治疗,确诊之后,再根据患者具体情况选择是否进行溶栓治疗。早期抗凝治疗是治疗和预防下肢深静脉血栓形成必不可少的条件之一。
Objective: To study the clinical treatment of 30 cases of lower extremity deep venous thrombosis after gynecology and obstetrics, reduce the rate of deep venous thrombosis in lower extremities, and improve the diagnosis and treatment rate. Methods: Thirty cases of lower extremity DVT admitted from October 2014 to February 2017 in our hospital were retrospectively reviewed. All patients were treated with the general treatment of bed rest, inflammation elimination and pain relief. Thrombosis, patients need anticoagulant therapy, thrombolytic therapy and antiplatelet therapy. The anticoagulant used is low molecular weight heparin or low molecular weight heparin. The main antiplatelet drugs are dextran and dipyridamole. Results: All patients were cured and left the hospital. Ultrasonography venous thrombolysis disappeared in 8 patients, deep venous blood flow in patients with unimpeded, thrombolytic thrombolysis in patients with reduced volume in 10 cases, the patient part of the deep venous blood flow recanalization. Conclusion: When the clinical symptoms of lower extremity deep venous thrombosis occur in patients, medical staff need timely anticoagulant therapy for patients. After diagnosis, patients should be given thrombolytic therapy according to the specific conditions. Early anticoagulant therapy is one of the necessary conditions for the treatment and prevention of deep venous thrombosis of lower extremities.