Clinical analysis on 32 cases of deep venous thrombos is in ICU
- VernacularTitle:ICU内深静脉血栓形成32例临床分析
- Author:
Suhe LAI
- Publication Type:Journal Article
- Keywords:
Deep venous thrombosis;
Intensive Care Unit
- From:
Journal of Chongqing Medical University
1986;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the deep venous thrombosis in ICU,including its morbidity rate,causes,monitoring,therapy and prognosis.Methods:A clinical retrospective analysis was carried out to investigate 32 patients with deep venous thrombosis in ICU.Re- sults:The morbidity of deep venous thrombosis in ICU was 4.7 percent(32/681),and the top three causes were severe acute pancreatitis (46.9 percent,15/32),multiple injurie(s28.1percent,9/32),hypertensive cerebral hemorrhage(12.5 percent,4/32)in the investigated 32 cases.Factors significantly inducing deep venous thrombosis were deep venous catheter or bedridden or blood hypercoagulability.30 patients,accounting for 93.8 percen(t30/32)were cured after the treatment of lifting sickness limbs,and anticoagulation and thrombolysis 7 to 14 days.Only one patient was complicated by pulmonary embolism,but no one died.Conclusion:Deep venous thrombosis occurred for multiple causes.The serious patients in ICU were highly dangerous for it.We should pay attention to the high-risk people to avoid vascular complications.The d-dimmer detection,platelet count and deep venous color Doppler inspection were the effective ways to monitor it.The key to cure deep venous thrombosis was early finding and early treatment with anticoagulation and thrombolysis.
