最近审阅: 25 十月 2020
最近更新: 12 七月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 既往有静脉血栓栓塞、易栓症、恶性肿瘤、手术后、外伤以及中心静脉置管
  • 慢性内科疾病、轻瘫、年龄增加、肥胖、含雌激素的避孕药和 HRT、静脉曲张、妊娠和产后 6 周、一级亲属有 VTE 病史、长时间旅行和入院接受重症监护治疗

危险因素

  • 既往静脉血栓栓塞(深静脉血栓形成 [DVT] 和/或肺栓塞 [PE])
  • 血栓形成倾向
  • 恶性肿瘤
  • 术后情况
  • 外伤
  • 内置的中心导管(上肢或下肢)
  • 丧失活动能力
  • 骨髓增生性疾病
  • 充血性心力衰竭
  • 慢性阻塞性肺疾病
  • 炎症性肠病
  • 肢体轻度瘫痪患者的神经系统疾病
  • 年龄增长
  • 肥胖
  • 包含雌激素的避孕药、激素替代疗法 (HRT) 和雄激素剥夺治疗
  • 静脉曲张病史
  • 妊娠/产后
  • 长途旅行
  • 小腿固定
  • 一级亲属有 VTE 病史
  • 入院接受重症监护

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 血清肌酐
  • INR
  • PTT
更多 首要检查

需考虑的检查

  • 血清抗血小板因子4抗体
更多 需考虑的检查

治疗流程

撰稿人

Attending Physician

Assistant Professor

University of Montreal

Montreal

Canada

利益声明

NR declares that she has no competing interests.

Vicky Tagalakis

Associate Professor

General Internal Medicine Program Director

McGill University Division of Internal Medicine

Centre for Clinical Epidemiology of the Lady Davis Institute for Medical Research

Jewish General Hospital

Montreal

Canada

利益声明

VT declares that she has received an investigator-initiated grant from Sanofi-Aventis. She has also received consultancy fees from Bristol-Myers Squibb, Leo Pharma, Pfizer, Sanofi-Aventis, and Daiichi Sanyo. VT is an author of a reference cited in this monograph.

Postdoctoral Fellow

McGill University

Centre for Clinical Epidemiology of the Lady Davis Institute for Medical Research

Jewish General Hospital

Montreal

Canada

利益声明

AJKD declares that he has no competing interests.

Dr Nathalie Routhier, Dr Vicky Tagalakis, and Dr Adi J. Klil-Drori would like to gratefully acknowledge Dr Vincent Bouchard-Dechêne, a previous contributor to this monograph. VBD declares that he has no competing interests.

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Clinical Director

Acute Medicine

Associate Medical Director

Consultant Emergency Medicine

Guy's and St Thomas' NHS Foundation Trust

Clinical Lead and Consultant

Accident Emergency Medicine

St Thomas' Hospital

London

UK

利益声明

AP declares that he has no competing interests.

Hematologist

Thrombosis Fellow

University of Ottawa

Ottawa Health Research Institute

Ottawa

Canada

利益声明

SS declares that he has no competing interests.

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