本文選題：導(dǎo)管插入術(shù) + 靜脈血栓形成　； 參考：《中國循環(huán)雜志》2017年08期

【摘要】：目的:探索右心導(dǎo)管操作術(shù)后深靜脈血栓(DVT)的發(fā)生率及抗凝治療的作用。方法:連續(xù)選擇2015-01至2016-05行心內(nèi)電生理檢查(EPS)和(或)導(dǎo)管射頻消融(RFCA)的患者171例,將在靜脈系統(tǒng)可完成手術(shù)的室上性心動過速(室上速)患者隨機(jī)分為抗凝組87例及非抗凝組84例。術(shù)后24~48 h行下肢血管多普勒彩超檢查,比較二組間DVT發(fā)生率。結(jié)果:171例患者均為陣發(fā)性室上速患者,13例患者(抗凝組9例,非抗凝組4例)未完成術(shù)后下肢血管多普勒彩超檢查而排除,共有158例患者完成術(shù)后檢查及隨訪�？鼓M78例中有7例(8.97%)發(fā)生DVT;非抗凝組80例中有41例(51.3%)發(fā)生DVT,兩組比較差異有統(tǒng)計學(xué)意義(P0.001)。48例發(fā)生DVT患者中有6例(12.5%)發(fā)生肌間靜脈血栓,42例均為靜脈穿刺點附近血栓。結(jié)論:右心導(dǎo)管操作術(shù)中未抗凝的患者DVT發(fā)生率較高,使用肝素抗凝可降低DVT發(fā)生率。
[Abstract]:Objective: to investigate the incidence and anticoagulant effect of DVT after right cardiac catheterization. Methods: 171 consecutive patients with intracardiac electrophysiologic examination (EPS) and / or radiofrequency catheter ablation (RFCA) were selected from January 2015 to May 2016-05. Patients with supraventricular tachycardia (supraventricular tachycardia) were randomly divided into anticoagulant group (n = 87) and non-anticoagulant group (n = 84). The incidence of DVT was compared between the two groups by color Doppler ultrasonography (CDFI) at 24 hours after operation. Results 171 patients were all patients with paroxysmal supraventricular tachycardia (9 patients in anticoagulant group and 4 patients in non-anticoagulant group). DVT occurred in 7 out of 78 patients in the anticoagulant group and in 41 out of 80 patients in the non-anticoagulant group. The difference between the two groups was statistically significant (P 0.001 / 48). Among the 48 patients with DVT, there were 6 patients with intramuscular venous thrombosis (12. 5%) and 42 cases with thrombus near the point of venipuncture. Conclusion: the incidence of DVT in patients without anticoagulation during right cardiac catheterization is higher. Heparin anticoagulation can reduce the incidence of DVT.
【作者單位】： 云南省第一人民醫(yī)院心內(nèi)科;
【基金】：云南省科技廳重點項目(2014RA069)
【分類號】：R54

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