透過您的圖書館登入
IP:18.222.184.122

摘要


婦癌患者手術後的深部靜脈栓塞是一種嚴重的併發症,尤其是血栓進入肺部可造成突然的死亡,因此手術前、後的預防十分重要。許多研究認為,可以使用肝素、低分子量肝素、和四肢輪流加壓器等來預防靜脈栓塞的發生。對不能使用抗凝血藥物的患者,則可考慮使用下腔大靜脈過濾網來預防肺栓塞。

並列摘要


Venous thromboembolism is a major cause of morbidity and mortality following gynecologic surgery. Prevention of deep venous thromboses and pulmonary embolism is therefore crucial in the perioperative management of patients with gynecologic malignancies. In addition, pulmonary embolism is the leading cause of postoperative death after surgery for gynecologic cancer. Most deaths occur suddenly, and hence primary prevention is better than trying to salvage the patient once the event has occurred. Many recent studies recommended that all gynecologic cancer patients should receive venous thromboembolism prophylaxis, including heparin, low-molecular-weight heparin and sequential compression devices. Inferior vena cava filters are utilized to provide mechanical thromboprophylaxis to prevent pulmonary embolism or to avoid bleeding from systemic anticoagulation in high-risk situations.

延伸閱讀


國際替代計量