摘要
随着社会老龄化的加重和肥胖人群的增加,静脉血栓栓塞症(VTE)的发生率不断增高。VTE已成为妇科疾病治疗过程中危及患者生命的严重合并症,但同时也是临床上可以有效预防的疾病。科学的风险评估、合理的预防措施及对VTE疾病严重程度的危险分层,有助于降低妇科VTE的发生率和病死率。本文依据现有循证医学证据,参考相关学科指南和专家意见,结合日常的工作实践,总结出妇科相关VTE的风险评估流程和临床实践方法,便于全科医生和妇科临床医生对VTE风险进行快速评估和制定正确的治疗决策。
As the aging of society and the increasing prevalence of obesity,the incidence rate of venous thromboembolism(VTE) is growing.Although VTE has become a serious complication that threatens the safety of patients during the treatment of gynecological diseases,it can be prevented clinically by effective ways.Scientific risk assessment,reasonable preventive measures,and risk stratification of the severity of VTE disease can help reduce the incidence rate of and mortality from VTE in gynecologic patients.Based on the existing evidence-based studies in combination with relevant subject guidelines and expert opinions,as well as our daily clinical practices,we summarized the risk assessment process and clinical practice for VTE in gynecologic patients,aiming to help general practitioner and gynaecologists quickly assess VTE risk and make correct treatment decisions.
作者
高红
王建东
佟彤
GAO Hong;WANG Jiandong;TONG Tong(Department of Internal Medicine,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China;Gynecological Oncology Department,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China)
出处
《中国全科医学》
CAS
北大核心
2019年第12期1385-1391,共7页
Chinese General Practice
关键词
静脉血栓栓塞
风险评估
指南
诊断
治疗
妇科学
Venous thromboembolism
Risk assessment
Guidebooks
Diagnosis
Therapy
Gynecology
