Prevention and treatment of lower extremity venous thrombosis in Department of Neurosurgery

doi:10.3877/cma.j.issn.2095-9141.2017.03.006

Abstract

Abstract:

Objective

To explore the prevention and treatment strategy of venous thrombosis of lower extremity in hospitalized neurosurgery.

Methods

In order to reduce the incidence of venous thrombosis in the lower limbs and prevent the occurrence of pulmonary embolism, 672 inpatients treated in our hospital from April to October in 2016, were selected as the observation group. All patients were assessed for risk assessment and early mechanical and drug comprehensive prevention. The clinical data, control measures and curative effect of the patients were observed and compared with the data of 652 patients in the first 6 months after the improvement of the preventive measures as the control group.

Results

In the observation group, 35 patients had lower extremity venous thrombosis, the incidence rate was 5.20%, 2 cases of pulmonary embolism, the incidence rate was 0.31%; there were 59 patients with lower extremity venous thrombosis in the control group, the incidence rate was 9.05%, no cases of pulmonary embolism. The incidence of venous thrombosis and pulmonary embolism in the observation group was significantly lower than that in the control group (P<0.01).

Conclusion

The incidence of venous thrombosis in the lower limb of neurosurgical diseases is high. Medical personnel should attach great importance to it. Early mechanical prophylaxis and drug prevention can significantly reduce the risk of deep vein thrombosis and pulmonary embolism and have no effect on hematoma enlargement and mortality.

Key words: Neurosurgical patients, Venous thrombosis, Earlyprevention and treatment

Huifu Ma, Yawei Hu, Guangkui Han, Hao Zhang, Dongxu Yang, Qiang Guo, Lingsheng Kong, Feng Jin. Prevention and treatment of lower extremity venous thrombosis in Department of Neurosurgery[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2017, 03(03): 151-154.

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分组	住院人数	血栓总数	小腿肌间血栓	深静脉血栓	肺栓塞
对照组	652	59	58	28	2
观察组	672	35	32	5	0
合计	1 324	94	90	33	2

分组	住院人数	血栓总数	小腿肌间血栓	深静脉血栓	肺栓塞
对照组	652	59	58	28	2
观察组	672	35	32	5	0
合计	1 324	94	90	33	2

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