【摘要】：目的：1.探討下肢深靜脈血栓形成的病因及診斷方法,為法醫(yī)學(xué)鑒定提供合理依據(jù)。 2.探討下肢深靜脈血栓的并發(fā)癥及預(yù)后,為法醫(yī)學(xué)傷殘?jiān)u定及損害賠償提供建議。 對(duì)象和方法：選擇2006年2月至2009年10月鄭大五附院收治的125例下肢深靜脈血栓患者的臨床資料進(jìn)行分析。 結(jié)果：下肢深靜脈血栓形成(DVT)可發(fā)生在青少年到老年之間的各個(gè)年齡段,以50-60歲為發(fā)病年齡高峰�；颊甙Y狀不一,與血栓形成部位、年齡、體質(zhì)等因素有關(guān)。左側(cè)肢體較右側(cè)肢體病變常見(jiàn),且以周?chē)筒∽兙佣�。自發(fā)性DVT以左下肢多見(jiàn),有危險(xiǎn)因素的DVT兩側(cè)肢體發(fā)病率無(wú)明顯差別。超聲檢查可準(zhǔn)確診斷下肢近端DVT。發(fā)病一周內(nèi)進(jìn)行治療的患者,其療效優(yōu)于發(fā)病一周后接受治療的患者；抗凝聯(lián)合溶栓治療較單純抗凝治療臨床癥狀緩解快,遠(yuǎn)期療效無(wú)差異。DVT病變?cè)缙诮o予抗凝溶栓治療聯(lián)合長(zhǎng)期華法林抗凝治療可降低肺栓塞和深靜脈血栓形成后綜合癥的發(fā)生 結(jié)論：創(chuàng)傷、手術(shù)、長(zhǎng)期臥床等是DVT的主要獲得性病因,以彩超為主的影像學(xué)檢查是DVT的確診方法。肺栓塞(PE)是DVT最嚴(yán)重的并發(fā)癥,死亡率高；深靜脈血栓形成后綜合征(PTS)是急性下肢深靜脈血栓形成最嚴(yán)重的遠(yuǎn)期并發(fā)癥,使肢體處于病廢狀態(tài),在法醫(yī)學(xué)鑒定中應(yīng)充分考慮以上幾方面的表現(xiàn)及聯(lián)系。
[Abstract]:Purpose 1. To explore the etiology and diagnostic methods of deep venous thrombosis of lower extremity and to provide reasonable basis for forensic identification. 2. To investigate the complications and prognosis of deep venous thrombosis of lower extremity and provide advice for forensic evaluation and compensation for injury. Objects and methods: 125 patients with deep venous thrombosis of lower extremity were selected from Feb 2006 to Oct 2009. Results: deep vein thrombosis (DVT) of lower extremity occurred in all ages from adolescent to old, with 50-60 years old as the peak age of onset. The symptoms of the patients are different, and thrombus formation site, age, physique and other factors. The lesion of left limb is more common than that of right limb, and peripheral lesions are more common. Spontaneous DVT was more common in left lower extremities, but there was no significant difference in the incidence of DVT with risk factors. Ultrasonic examination can accurately diagnose lower extremity proximal DVT. The curative effect of the patients who had been treated within one week after the onset of the disease was better than that of the patients who received the treatment one week after the onset of the disease. Anticoagulant therapy combined with thrombolytic therapy can relieve clinical symptoms faster than anticoagulant therapy alone. Early anticoagulant thrombolytic therapy combined with warfarin anticoagulant therapy can reduce the incidence of pulmonary embolism and deep venous thrombosis syndrome. Long-term bed rest is the main acquired cause of DVT, and color Doppler imaging is the diagnostic method of DVT. Pulmonary embolism (PE) is the most serious complication of DVT with high mortality. Deep venous thrombosis syndrome (PTS) is the most serious long-term complication of acute deep venous thrombosis of lower extremity, which causes the limb to be in a state of disservice.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類(lèi)號(hào)】：D919.1

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