Advances in the treatment of venous thromboembolism in the neurosurgery department
10.3760/cma.j.cn341190-20230914-00191
- VernacularTitle:神经外科静脉血栓相关治疗进展
- Author:
Xufeng PAN
1
;
Rong WU
;
Haifei CHAI
;
Jie WANG
;
Xiaoming HU
Author Information
1. 浙江省台州医院神经外科，台州 317000
- Keywords:
Venous thromboembolism;
Cerebral hemorrhage;
Brain neoplasms;
Wounds and injuries;
Anticoagulants;
Heparin, low-molecular-weight;
Review
- From:
Chinese Journal of Primary Medicine and Pharmacy
2024;31(9):1433-1436
- CountryChina
- Language:Chinese
-
Abstract:
Venous thromboembolism is a common comorbidity in neurosurgery department that can lead to life-threatening pulmonary embolism, endangering patient health. The unique characteristics of neurosurgical conditions often present a high risk of bleeding, which complicates the treatment of venous thrombosis. Although numerous observational studies and meta-analyses support the feasibility of initiating early anticoagulation prevention or treatment after hemorrhage stabilization in intracranial hemorrhagic conditions such as traumatic brain injury and cerebral hemorrhage, there is a lack of high-quality clinical research. As a result, neurosurgeons tend to adopt a conservative approach regarding pharmacological prophylaxis and anticoagulant treatment for venous thromboembolism. Key aspects such as the timing of prevention, monitoring, and discontinuation of treatment still require high-quality research to establish definitive guidelines.
