Pay close attention to intravenous thrombus disease Prevent causing

Pay close attention to intravenous thrombus disease Prevent causing pulmonary embolism of fatal character
Zhang SiWei The state-founding general, former defense minister Luo Ruiqin, Xiong Zhuo, medical professor of Peking University, is, Poland famous former hammer of Olympic Games woman champion ask for Coly, link the intersection of Sri Lankan and Carlos, a women basketballer Wang Fan in our country eight They are engaged in different jobs, but because of the same disease - -Cause pulmonary embolism of fatal character (PE) Have left this world. What is called PE, refers to the serious complication that causes because some one of the lung artery are stopped up by embolus, the most common embolus is the thrombus from venous system. When producing the serious blood to support the obstacle after thromboembolism, necrosis can happen in the lung tissue. Usually think thromboembolism of intravenous thrombus (VTE) Including deep phlebothrombosis (DVT) With lung thrombus thromboembolism (PTE) . According to materials that IUA international conference of U.S.A. was announced of 2006: VTE has already been the third most common blood vessel disease, its incidence has already been equivalent to incidence of apoplexy of brain. U.S.A. has 480,000 acute DVT patients every year, annual PE patient is 210,000, among them cause 150,000 fatal character PE patients. PE arranges the third in the cause of the death of of acute cardiovascular vessel, it is the extremely high disease of dying suddenly rate. "If everybody understand more, pay attention to more VTE, then the relative's tears will flow once few. " The subsidiary hospital blood vessel head of the department of surgery Professor Fu WeiGuo of Zhongshan of Fudan University says. Attention degree is far from enough " a lot of clinicians thought because of the difference of the ethnic group between east and west in the past, cause patients of pulmonary embolism of fatal character to be few in China. The improvement of the competence that but and make a diagnosis with the development of medical science, we find it is not low in China VTE incidence, basically identical with western countries' morbidity. " The blood vessel head of the department of surgery Professor Liu ChangWei of BJ Union Hospital thinks, pays attention to VTE, how to treat DVT and and prevent from causing the emergence of the fatal character PE to be the problem which the domestic and foreign clinician pays close attention to extensively at present in time. Reveal in an investigation of the patient of dept. of orthopedics of our country, it is accepted that DVT morbidity of person who replaces skill of the hip, knee joint is 40% and 53% respectively; A patient DVT morbidity is 17.6% and 30% that the whole hip and the whole knee joint that it is accepted that low molecular Heparin prevents replace the skill. It is 11.2% and 43.2% separately in the lower extremities wound patient and DVT high morbidity that endangers in a wound patient. ChangWei Liu take PE as examples, mention about 80% the intersection of PE and patient have clinical symptom, cause patient, PE of fatal character, in front of death very much low diagnosing rate clearly, clinician in addition it lacks diagnosis and prevention and cure in VTE to be still scarce to know enough, so once happen, often very critical. Invisible and apt to leak, examine Beijing, fit loyal head of the department of surgery of hospital blood vessel Chen Zhong Professor, think strong, there are three major kinds of main reasons causing VTE to form: First, the blood is silted up. If long-term limbs apply the brake, factors such as lying in bed, hemiplegia,etc. make the intravenous blood silt up for a long time; Second, the inner membrane is damaged. Can stimulate the local damage such as wound, the blood vessel is damaged directly, infect and damage etc. with other tissues; Third, congeal the state high. And DVT and PE reflect as VTE two kinds of different clinical forms of expression specifically, DVT refers to the abnormal coagulation in the deep vein of blood, the good hair, to the lower extremities. Quite a few deep intravenous thrombus patients have no symptom but ignore by the doctor for a long time. Diagnose and deal with in time, some patient can loss the thromboembolism lung artery, cause acute PE by thrombus. Chen Zhong sums up through the clinical practice activity for many years, the early clinical manifestation including limbs pain and swelling of DVT; The early clinical manifestation of PTE aches etc. for the chest uncomfortable in chest, breathes hard of the unidentified reason. "So, find symptom of early VTE in time, and treat and intervene actively, thus it is essential to prevent causing the emergence of the fatal character PE. " Chen Zhong says. Prevent it in order to it is reported first, the diagnostic method of VTE mainly monitors D - gather the body two times dynamically at present, colored the intersection of Doppler and ultrasonic inspection, intravenous radiography, CT scan the intersection of nuclear magnetic resonance and the intersection of person who scan and method. The therapeutic method of VTE is mainly as follows, at present Anticoagulatory and dissolving the medicine treatment method of bolt,etc., the surgery fetches bolt law and gets involved and treat. In order to prevent causing the emergence of the fatal character PE, can put into the lower vena cava filter too. Mentioning the current situation of making a diagnosis and giving treatment of domestic VTE, Fu WeiGuo says frankly, the domestic different areas, understanding of VTE of the doctors of different disciplines are different too, in the course of making a diagnosis, it is very common to misdiagnose, leak the case examined; In treating, it is insufficient that often there are anticoagulatory therapeutic intensity and course of treatment in the clinical work, monitor it uncompletely, dissolve the medicine, course of treatment, result of bolt treatment and assess etc. and lack the normal treatment principle. "It is to prevent pulmonary embolism that the ones that have already verified the vena cava filter in clinical experience for many years are put into, protect an important measure of patient's life. But a lot of respects of assessing and monitoring in assurance, choice, assurance, choice and course of treatment, result of medicine of the anticoagulatory opportunity of the filter kind of indication etc., the domestic and foreign medical circle has had a lot of disputes all the time, need further studying to be clear. Clinician put working technique to start with skill, put the intersection of filter and management, anticoagulatory opportunity and course of treatment, medicine of future trouble person into, choose and dissolve bolt, treat, owe the norm to filter. " Fu WeiGuo says.
Pay close attention to intravenous thrombus disease Prevent causing pulmonary embolism of fatal character