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首页> 外文期刊>麻酔 >Prophylactic strategies for perioperative pulmonary embolism: the second report; reevaluation of usefulness of combination of elastic stockings and intermittent pneumatic compression
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Prophylactic strategies for perioperative pulmonary embolism: the second report; reevaluation of usefulness of combination of elastic stockings and intermittent pneumatic compression

机译：围手术期肺栓塞的预防策略：第二次报告; 重新评估弹性长袜和间歇气动压缩的组合

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BACKGROUND: The incidence of perioperative pulmonary thromboembolism (PTE) has increased in Japan. As the mortality rate of PE is very high, its prophylaxis is important. METHODS: From January 1998 to December 1999 no prophylactic strategies were employed. From May 2000 to December 2004, elastic stockings (ES) for prevention of perioperative deep vein thrombosis were worn from the morning of the operation until the beginning of ambulation. Intermittent pneumatic compression (IPC) apparatuses were used in combination with ES right after the induction of anesthesia until leaving ICU. Sixty percent of patients stayed in ICU until the next morning after the operation and the other patients for a few hours after the end of surgery. RESULTS: We managed 4,511 patients without any preventing method and 11,688 patients with the combination of ES and IPC. Seven patients developed PTE without any prophylaxis and one with preventative methods. The incidence of PTE was significantly decreased from 15.51 persons/10,000 cases to 0.86 person/10,000 cases. Symptomatic deep vein thrombosis occurred in 3 cases in spite of preventative methods. CONCLUSIONS: Our preventive strategies with the combination of ES and IPC seem to be useful to decrease the incidence and severity of perioperative PTE.
机译：背景：围手术期肺血栓栓塞（PTE）的发生率在日本增加。随着PE的死亡率非常高，其预防是重要的。方法：1998年1月至1999年12月，没有采用预防性策略。从2000年5月到2004年12月，从手术的早晨直到救护开始时，弹性丝袜的预防围手术期深静脉血栓形成。间歇性气动压缩（IPC）装置与ES在诱导麻醉后与ES组合使用，直至离开ICU。六十百分之六十名患者在手术结束后的手术后达到第二天早上，在手术后几个小时待了几个小时。结果：我们管理了4,511名没有任何预防方法和11,688名患者组合的ES和IPC。七名患者开发了没有任何预防的PTE，一种具有预防性方法。 PTE的发病率从15.51人/ 10,000例案件显着降至0.86人/ 10,000例。症状深静脉血栓形成在3例时发生，尽管预防方法。结论：我们与ES和IPC组合的预防策略似乎有助于降低围手术期PTE的发病率和严重程度。

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