协和医学杂志

2018, v.9(02) 144-149

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从指南到实践:解析《中国普通外科围手术期血栓预防与管理指南》
From Guidelines to Practice: Analysis of Guidelines for Prevention and Management of Perioperative Venous Thrombosis in General Surgery in China

刘凤林;秦净;
LIU Feng-lin;QIN Jing;Department of General Surgery,Zhongshan Hospital Affiliated to Fudan University;

摘要(Abstract):

静脉血栓栓塞症(venous thromboembolism,VTE)是外科围手术期的常见并发症之一。2016年《中国普通外科围手术期血栓预防与管理指南》发布,其在普通外科人群VTE风险评估、预防措施推荐以及围手术期抗凝药物管理等方面提出了指导和建议,规范和推动了我国普通外科围手术期患者血栓管理。本文通过对指南进行解读并结合自身临床实践,详细分析人种差异、不同手术方式和疾病类型对VTE发生率的影响以及VTE风险模型和抗凝预防措施的选择,旨在进一步加深外科医生对围手术期VTE预防和管理的认识。
Venous thromboembolism( VTE) is one of the common perioperative complications. The Guidelines for Prevention and Management of Perioperative Venous Thrombosis in General Surgery in China was released in 2016,which makes a lot of pertinent suggestions on VTE risk assessment in patients with general surgery,implementation of prophylactic measures,and perioperative management with anticoagulant medications. It also standardizes and promotes the practice of thrombosis management in the perioperative period of general surgery in China. Based on the interpretation of the guidelines and our own clinical practice,we analyzed in detail the influence of the ethnic differences,different surgical methods,and the type of disease on the incidence of VTE,as well as the selection of risk model and anticoagulation preventive measures for VTE. We hope to provide a further understanding of the clinical perioperative prevention and management of VTE.

关键词(KeyWords): 静脉血栓栓塞症;围手术期;预防
venous thromboembolism;perioperative;prevention

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作者(Author): 刘凤林;秦净;
LIU Feng-lin;QIN Jing;Department of General Surgery,Zhongshan Hospital Affiliated to Fudan University;

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