结直肠癌术后并发深静脉血栓形成12例分析
Analysis of 12 patients with deep venous thrombosis following iliac-rector carcinoma operation
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摘要: 目的: 探讨结直肠癌术后并发深静脉血栓的因素及诊治和预防的合理性。方法: 患肢给予冷敷并抬高15°~30°,冷敷72 h后予以热敷同时予抗凝治疗。结果: 12例中8例两周内下肢肿胀完全消退,2个月后复查彩色多谱勒血流显像检查,10例显示静脉通畅,2例广泛侧支循环建立。结论: 彩色多谱勒血流显像检查是诊断深静脉血栓的可靠方法。围手术期要采取预防措施,溶栓及辅以小剂量抗凝剂治疗效果好,不易复发。Abstract: Objective: To investigate the reasonableness of diagnosis and treatment of deep venous thrombosis after operation on iliac-rector carcinoma.Methods: The thrombosis limb was given cold compress and elevation 15°-30°.The thrombosis limb was given hot compress and anticoagulant therapy at 72 h after cold compress.Results: Eight of 12 patients with legs edema were cured during the two weeks.Two months later,by colour doppler examination all the patients were recovered.Conclusions: The preventive measures should be taken before and after operation.The thrombolysis and low-dose anticoagulant are effective in treatment of the malignant venous embolus good and the recurrence rate is very low.