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下腔静脉滤器置入+置管溶栓+足背静脉溶栓疗法治疗急性下肢深静脉血栓的效果分析
吴绍腾,钟 胜,王有枝,李 明,王文金
(东莞东华医院,广东 东莞 523110)
[摘要]目的:探讨用下腔静脉滤器置入+置管溶栓+足背静脉溶栓疗法治疗急性下肢深静脉血栓的临床效果。方法:选择东莞东华医院2017年1月至2019年7月收治的急性下肢深静脉血栓患者60例作为研究对象。采用随机数表法将其分为比较组和分析组(30例/组)。为分析组患者采用下腔静脉滤器置入+置管溶栓+足背静脉溶栓疗法进行治疗,为比较组患者采用下腔静脉滤器置入+足背静脉溶栓疗法进行治疗。然后比较两组患者治疗的总有效率、治疗前后其双侧大腿的周径差和双侧小腿的周径差。结果:分析组患者治疗的总有效率(96.67%)高于比较组患者治疗的总有效率(76.67%),P <0.05。治疗后,分析组患者双侧大腿的周径差〔(1.2±0.9)cm〕、双侧小腿的周径差〔(0.8±0.2)cm〕均小于比较组患者双侧大腿的周径差〔(3.0±0.5)cm〕、双侧小腿的周径差〔(1.9±0.4)cm〕,P <0.05。结论:对急性下肢深静脉血栓患者采用下腔静脉滤器置入+置管溶栓+足背静脉溶栓疗法进行治疗的效果较好,可显著减小其双侧大腿、小腿的周径差。
[关键词]急性下肢深静脉血栓;下腔静脉滤器;置管溶栓;足背静脉溶栓
[中图分类号]R543 [文献标识码]B [文章编号]2095-7629-(2020)12-0030-03
Analysis of the effect of implantation of inferior vena cava filter + catheter thrombolysis + dorsal foot venous社区民警
圆珠笔印怎么去除
丝绸之路的故事thrombolysis in the treatment of acute lower extremity deep venous thrombosis
Wu Shaoteng, Zhong Sheng, Wang Youzhi, Li Ming, Wang Wenjin (Dongguan Donghua Hospital, Dongguan, Guangdong 523110)
[Abstract] Objective: To investigate the clinical effect of implantation of inferior vena cava filter + catheter thrombolysis + dorsal foot venous thrombolysis in the treatment of acute lower extremity deep venous thrombosis (DVT). Methods: 60 patients with acute deep venous thrombosis of lower extremities admitted to Dongguan Donghua Hospital from January 2017 to July 2019 were lected as study subjects. They were divided into comparison group and analysis group (30 cas/group) by random number table method. Patients in the analysis group were treated with inferior vena cava filter implantation + catheter thrombolysis + dorsal foot vein thrombolysis therapy, while patients in th
e comparison group were treated with inferior vena cava filter implantation + dorsal foot vein thrombolysis therapy. Then the total effective rate of the two groups of patients before and after treatment, the circumference difference of bilateral thighs and the circumference difference of bilateral calves were compared. Results: The total effective rate (96.67%) in the analysis group was higher than that in the comparison group (76.67%), P < 0.05. After treatment, the difference between the two legs ((1.2±0.9) cm) and the difference between the two legs ((0.8±0.2) cm) in the analysis group was smaller than that between the two legs ((3.0±0.5) cm) and the difference between the two legs (1.9±0.4) cm) in the comparison group (P < 0.05). Conclusion: Implantation of inferior vena cava filter + catheter thrombolytic therapy + dorsal foot venous thrombolytic therapy in patients with acute lower extremity deep vein thrombosis has a good therapeutic effect, and can significantly reduce the circumference difference of bilateral thighs and calves.
[Key words] acute deep venous thrombosis of lower extremity; Inferior vena cava filter; Catheterization thrombolysis; Venous thrombolysis in the dorsal foot
肢动脉的血流灌注,减轻其心脏后负荷[4-5]。中医认为,急性心肌梗死合并急性左心衰竭属于“胸痹”的范畴。此病主要是由气血瘀滞所致。麝香保心丸的主要成分包括苏合香、麝香、蟾酥、肉桂、人参等。其中苏合香、麝香、蟾酥可活血止痛、芳香行气;肉桂可温振心阳;人参可益气扶正;诸药合
用可共奏开窍止痛、益气强心之功[6]。为了观察对急性心肌梗死合并急性左心衰竭患者采用增强型体外反搏治疗仪联合麝香保心丸进行治疗的效果,笔者对2017年6月至2020年3月惠东县人民医院接诊的50例急性心肌梗死合并急性左心衰竭患者进行分组研究。研究结果显示,治疗后,研究组患者血清N 末端B 型脑钠肽原、心肌肌钙蛋白I 的水平均低于对比组患者,其左室射血分数高于对比组患者,其左室舒张末期内径短于对比组患者,其24 h 心肌缺血发生的次数少于对比组患者,P <0.05。
流言蜚语什么意思综上所述,对急性心肌梗死合并急性左心衰竭患者采用增强型体外反搏治疗仪联合麝香保心丸进行治疗的效果
梵高星空壁纸确切,可显著改善其心功能,减少其发生心肌缺血的次数。
参考文献
咖喱虾的做法
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急性下肢深静脉血栓主要是由血液在深静脉腔内异常凝结、阻塞静脉管腔所致。此病患者的主要临床表现为下肢肿胀、疼痛、浅静脉曲张等。置管溶栓、足背静脉溶栓、下腔静脉滤器置入、抗凝药物保守治疗均为目前临床上治疗急性下肢深静脉血栓的常用方法[1]。本文对东莞东华医院2017年1月至2019年7月收治的60例急性下肢深静脉血栓患者进行研究,旨在探讨用下腔静脉滤器置入+置管溶栓+足背静脉溶栓疗法治疗急性下肢深静脉血栓的临床效果。
1 资料与方法1.1 一般资料
选择东莞东华医院2017年1月至2019年7月收治的急性下肢深静脉血栓患者60例作为研究对象。其纳入标准是:1)其病情符合《中国深静脉血栓形成的诊断和治疗指
作者简介:吴绍腾(1983-)男,汉族,籍贯:广东雷州,本科学历,职称:主治医师,研究方向:主要从事肿瘤及外周血管的介入治
我的老师们疗,科室:介入科