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学科主题: 血管外科学
题名:
老年人下肢深静脉血栓形成的临床特点
其他题名: Clinical characteristics of deep venous thrombosis of lower extremity in the elderly
作者: 栾景源; 董国祥
关键词: 静脉血栓形成 ; 危险因素 ; Venous thrombosis ; Risk factors
刊名: 中华老年医学杂志
发表日期: 2009
DOI: 10.3760/cma.j.issn.0254-9026.2009.03.013
卷: 28, 期:3, 页:217-220
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 总结老年人下肢静脉深血栓形成(DVT)的临床特点.方法 分析180例老年人DVT的发病情况、危险因素、并发症和疗效,并与同期收治的144例非老年人DVT病例资料对比.结果 老年人DVT以60~69岁年龄段最多[91例(50.5%)],其次为70~79岁[73例(40.5%)].前5位危险因素是大手术后(27.8%)、恶性肿瘤(15.0%)、外伤骨折(7.8%)、脑血管病后遗症(7.2%)、长期卧床(5.0%).并存Cockett综合征43例(49.4%),其中髂总静脉闭塞6例(14.0%)、狭窄>50%21例(48.8%)、狭窄<50%16例(37.2%).急性期DVT的取栓术疗效优于系统溶栓,非急性期两种方法 疗效差异无统计学意义.老年人与非老年人的近、远期疗效差异无统计学意义.结论 老年人易患DVT,恶性肿瘤和脑血管病后遗症是与老年人DVT相关的危险因素.对于老年人急性期DVT,取栓术的近、远期疗效优于系统溶栓. Objective To analyze the clinical characteristics of deep venous thrombosis (DVT) of lower extremity in the elderly.Methods One hundred and eighty elderly inpatients with DVT and one hundred and forty-four non-elderly DVT inpatients were recruited in the study.The prevalence situation, risk factors, complications and curative effect were analyzed.Rcsulls The prevalence of DVT in patients aged 60-69 years was the highest(50.5%), followed by the patients aged 70-79 years(40.5 %), The five major risk factors were post-operation (27.8 %), malignant tumor (15.0 %), traumatic fracture ( 7.8 %), sequelae of cerebrovascular disease (7.2 %) and long-term bedridden(5.0%).49.4% of the elderly had Cockett's syndrome, including 14.0% of them with common iliac vein (CIV) occlusion(n=6), 48.8% of them with >50% stenosis of the CIV (n= 21) and 37.2% of them with <50% stenosis (n= 16).In acute stage of DVT, the curative effect of thrombectomy was superior to that of thrombolysis, while there were no statistically significant differences in curative effect between the two methods in non-acute phase.The curative effect between elderly group and non-elderly group did not show significant difference.Conclusions The elderly are easy to suffer from DVT, and malignant tumor and sequelae of cerebrovascular disease are the risk factors for DVT in the elderly.The curative effect of thrombectomy is better than that of thrombolysis in elderly patients with acute DVT.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/71734
Appears in Collections:北京大学第三临床医学院_介入血管外科_期刊论文

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作者单位: 北京大学第三医院介入血管外科,100191

Recommended Citation:
栾景源,董国祥. 老年人下肢深静脉血栓形成的临床特点[J]. 中华老年医学杂志,2009,28(3):217-220.
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