摘要
目的 :探讨妇科肿瘤术后并发盆腔和下肢血栓性静脉炎的高危因素、诊断治疗要点及预防措施。方法 :回顾性分析我院 8年来 16例妇科肿瘤术后并发盆腔和下肢血栓性静脉炎患者的临床特点、诊断、治疗及预防措施。结果 :发生盆腔和下肢血栓性静脉炎的高危因素是盆腔恶性肿瘤、老年妇女、合并高血压糖尿病等内科疾病、经阴道手术、术前有感染因素等。结合临床表现、血浆FIB浓度值、D -二聚体测定有助于早期诊断盆腔血栓性静脉炎。治疗采用肝素、低分子右旋糖酐及复方丹参等 ,取得满意效果。结论 :对有血栓性静脉炎高危因素的妇科肿瘤患者 ,手术前后应加强预防措施。
Objective: To investigate the high risk factors、diagnosis 、treatment and prophylactic measurements of pelvic and lower extremeties thrombophlebitis after operations of neoplasmata genitalis. Method: Retrospective analysis of clinical characteristics、diagnosis 、treatment and prophylactic measurements of 16 cases of pelvic and lower extremeties thrombophlebitis after operations of neoplasmata genitalis in last eight years. Results: The high risk factors of pelvic and lower extremeties thrombophlebitis after operations of neoplasmata genitalis is pelvic malignant tumor、old age、complicated with internal diseases such as hypertension、diabetes mellitus 、 transvaginal operations and preoperation infection etc. Clinical behaviour、serum FIB concentration、D-dimer determination is helpful in early diagnosis of pelvic and lower extremeties thrombophlebitis. Heparin and compound red sage root have satisfactory effects in treatment of thrombophlebitis. Conclusion: Prophylactic measurements is emphasis on neoplasmata genitalis patients with high risk factors of thrombophlebitis before and after operation. Anticoagulative therapy is eutherapeutic.
出处
《河北医学》
CAS
2004年第8期687-689,共3页
Hebei Medicine
