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腹腔镜手术患者术后下肢深静脉血栓形成的危险因素(2)
http://www.100md.com 2014年3月15日 马红滔 常晓健 赵相军等
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     综上所述, 手术时间≥4 h、气腹压≥20 mmHg、头高脚低位为腹腔镜手术患者术后下肢深静脉血栓形成的危险因素, 腹腔镜手术应降低气腹压, 尽量缩短手术时间, 减少头高脚低的持续时间, 避免腹腔镜手术患者术后下肢深静脉血栓的形成。

    参考文献

    [1]Christen Y, Reymond MA, Vogel JJ, et al. Hemodynamic effects of intermittent pneumatic compression of the lower limbs during laparoscopic cholecystectomy. Am J Surg, 1995,173(4):395-398.

    [2]Ido K, Suzuki T, Kimura K, et al. Lower-extremity venous stasis during laparoscopicc holecystectomy as assessed using color Doppler ultrasound. Surg Endosc, 1995(9):310-313.

    [3]Nguyen NT, Cronan M, Braley S, et al. Duplex ultrasound assessment o f f emoralv enousfl ow duringl aparoscopica ndo peng astric bypass. S urgE ndosc, 2003,17(2);285-290.

    [4]Caprini JA, Arcelus JI, Laubach M, et al. Postoperative hypercoagulability and deep-veint hrombosis after laparoscopic cholecystectomy. Surg Endosc, 1995,9(3):304-309.

    [5]Nguyen NT, Luketich JD, Shurin MR, et al. Coagulation modifications after la paroscopic and open cholecystectomy in a swine mode1. Surg Endosc, 1998(2):973-978.

    [6]Prisco O, De Gaudio AR, Carla R,et al.Videolaparoscopic cholecystectomy induces a hemostasis activation of lower grade than does open surgery. Surg Endosc, 2001,14(4):170-174.

    [7]Dexter SP, Griffith JP, Grant PJ, et al. Activation of coagulation and fibrinolysis in open and laparoscopic cholecystectomy. Surg Endosc, 1996(10):1069-1074.

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