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腹腔镜术后下肢深静脉血栓形成的探讨(附2例报告) 预览 被引量:13

The study of deep venous thrombosis after laparoscopy: with a report of 2 cases
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摘要 目的:探讨腹腔镜术后下肢深静脉血栓(DVT)形成的发病危险因素以及防治方法.方法:分析2例腹腔镜胆囊切除术(LC)术后DVT的临床资料.结果:2例患者经过溶栓、抗凝、祛聚及对症支持等治疗后病情均完全缓解,深静脉再通,无1例发生肺栓塞.结论:由CO2气腹引起的下肢血流动力学、机体凝血纤溶改变及内皮细胞损伤是腹腔镜手术区别于开腹手术后DVT形成的重要原因. Objective: To investigate the risk factor, prevention and treatment of deep venous thrombosis (DVT) after laparoscopy. Methods:The clinical data of 2 cases of DVT after LC were analyzed, Results:With thrombolysis, anticoagulation, antiagglutination and maintenance therapy, the partients' symptoms were alleviated, deep vein re-smoothed without pulmonary embolism. Conclusions: The changes of lower limb hemodynamics, bodyg blood coagulation and fibrinolysis, and endothelial cell damage caused by CO2 pneumoperitoneum are important faltors of DVT after laparoscopy,which is different from those of DTV after laparotomy.
作者 罗友军 张秀菊 周皓岚 程君 文奎 LUO You-jun, ZHANG Xiu-ju, ZHOU Hao-lan, et al. (Bazhong Traditional Chinese Medical Hospital ,Bazhong 636000, China)
机构地区 巴中市中医院
出处 《腹腔镜外科杂志》 2005年第6期 341-342,共2页 Journal of Laparoscopic Surgery
关键词 静脉血栓形成 腹腔镜 危险因素 预防 Venous thrombosis Laparoscopy Risk factors Prevention
作者简介 罗友军(1972-)男,巴中市中医院业务院长,主治医师,主要从事临床外科的研究。
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