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住院恶性肿瘤患者下肢深静脉血栓形成的筛查研究The Deep Venous Thrombosis Screening Research in Malignant Tumor Patients in Hospital
谷秉红, 李霞, 王爽, 闫博, 刘佳林, 杨萍
住院患者, 恶性肿瘤, 下肢深静脉血栓形成, 筛查Inpatient, Malignant Tumor, LDVT, Screen
《Advances in Clinical Medicine》, Vol.4 No.4, 2014-12-03
目的：对住院恶性肿瘤患者进行下肢深静脉血栓形成(LDVT)的早期筛查研究。方法：使用Wells评分法结合血浆D-dimer检查对434例住院恶性肿瘤患者进行筛查。结果：234例住院恶性肿瘤患者为LDVT低风险(Wells评分 ≤ 1且血浆D-dimer检查为阴性)，未行彩色多普勒超声检查。其余200例患者为LDVT高风险(Wells评分 ≥ 2或血浆D-dimer检查为阳性)，行彩色多普勒超声检查，共确诊LDVT 22例(11%)。结论：使用Wells评分表结合D-dimer数值对住院恶性肿瘤患者进行LDVT早期筛查，可以有效评估住院恶性肿瘤病人发生LDVT的风险，有利于早期发现LDVT，并进行早期治疗及护理。Objective: An early screening method of LDVT was used in malignant tumor patients in the hospital. Method: Wells score and blood plasma D-dimer were used together in 434 malignant tumor pa-tients to screen LDVT. Result: 234 malignant tumor patients didn’t receive the color doppler ul-trasound examination because they had the low risk of LDVT (Wells score ≤ 1 and D-dimer result was negtive). 200 malignant tumor patients received the color doppler ultrasound examination because they had the high risk of LDVT (Wells score ≥ 2 or D-dimer result was positive). 22 patients (11%) were diagnosed with LDVT. Conclusion: Using Wells score and D-dimer together can do the LDVT early screening in malignant patients. It can effectively evaluate the risk of LDVT in tumor patients and find the LDVT early as well as early treatment and nursing.