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腔静脉滤器临床应用指南

2019-07-30 中华医学会外科分会血管外科学组 中国实用外科杂志.2019,39(7):651-964.

静脉血栓栓塞症(venous thromboembolism,VTE)、深静脉血栓形成(deep venous thrombosis,DVT)以及肺动脉栓塞症(pulmonary thromboembolism,PE)是一组关联密切的疾病群。PE是肢体DVT后的严重并发症。William报道,46~60%的PE与DVT有关。1998年,我国张福先在临床上开展了DVT 与PE 发生关系的前瞻性研究,

中文标题:

腔静脉滤器临床应用指南

发布日期:

2019-07-30

简要介绍:

静脉血栓栓塞症(venous thromboembolism,VTE)、深静脉血栓形成(deep venous thrombosis,DVT)以及肺动脉栓塞症(pulmonary thromboembolism,PE)是一组关联密切的疾病群。PE是肢体DVT后的严重并发症。William报道,46~60%的PE与DVT有关。1998年,我国张福先在临床上开展了DVT 与PE 发生关系的前瞻性研究,结果表明,DVT病人中,约45%可发生PE,其中72%病人无任何临床症状,由此提出无症状PE、有症状PE和致死性PE的临床分型。PE主要病因是来源于肢体DVT后血栓脱落所致,这一观点目前在临床已达成共识,同时也被临床研究所证实。而在临床上合理地应用腔静脉滤器可有效拦截脱落的血栓,预防PE发生,但近年来在国内时常有不规范、滥用滤器的情况发生,并由此导致一系列并发症。因此,为了科学、规范、合理地应用和管理腔静脉滤器,由中华医学会外科学分会血管外科学组发起,组织国内多位血管外科专家通过多次讨论和研究形成以下共识,供同道参考与应用。

 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1008194, encodeId=33d8100819420, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2965573882, createdName=张炜嫦, createdTime=Sun Aug 15 23:26:56 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1003286, encodeId=66d21003286ba, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIqlnCibWjuDUAgaCHwFuMzAuMjyriarZStfbH4awkBQFoYtqff6tfJDz5D2lgbIicHCJXZxibs2Jr52Q/132, createdBy=c3db5138446, createdName=1466f1b5m86(暂无昵称), createdTime=Wed Jul 28 11:36:28 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908802, encodeId=f632908802ba, content=加深了解了,有进一步提高, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4e11681921, createdName=1de38778m63(暂无匿称), createdTime=Thu Dec 17 10:22:56 CST 2020, time=2020-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892602, encodeId=7e59892602dc, content=写的好详细,非常的清晰,好评呀,太实用了简直。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=66725420674, createdName=ms1000001200805837, createdTime=Sat Oct 17 09:22:48 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=881331, encodeId=6e2088133139, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200831/c8dbac41da994ba0985636b0b4468384/d0c0ab57e8594d71b12e5e96a9e237da.jpg, createdBy=b9385199067, createdName=tckey, createdTime=Mon Aug 31 13:59:17 CST 2020, time=2020-08-31, status=1, ipAttribution=)]
    2021-08-15 张炜嫦

    学习了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1008194, encodeId=33d8100819420, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2965573882, createdName=张炜嫦, createdTime=Sun Aug 15 23:26:56 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1003286, encodeId=66d21003286ba, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIqlnCibWjuDUAgaCHwFuMzAuMjyriarZStfbH4awkBQFoYtqff6tfJDz5D2lgbIicHCJXZxibs2Jr52Q/132, createdBy=c3db5138446, createdName=1466f1b5m86(暂无昵称), createdTime=Wed Jul 28 11:36:28 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908802, encodeId=f632908802ba, content=加深了解了,有进一步提高, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4e11681921, createdName=1de38778m63(暂无匿称), createdTime=Thu Dec 17 10:22:56 CST 2020, time=2020-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892602, encodeId=7e59892602dc, content=写的好详细,非常的清晰,好评呀,太实用了简直。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=66725420674, createdName=ms1000001200805837, createdTime=Sat Oct 17 09:22:48 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=881331, encodeId=6e2088133139, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200831/c8dbac41da994ba0985636b0b4468384/d0c0ab57e8594d71b12e5e96a9e237da.jpg, createdBy=b9385199067, createdName=tckey, createdTime=Mon Aug 31 13:59:17 CST 2020, time=2020-08-31, status=1, ipAttribution=)]
    2021-07-28 1466f1b5m86(暂无昵称)

    学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1008194, encodeId=33d8100819420, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2965573882, createdName=张炜嫦, createdTime=Sun Aug 15 23:26:56 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1003286, encodeId=66d21003286ba, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIqlnCibWjuDUAgaCHwFuMzAuMjyriarZStfbH4awkBQFoYtqff6tfJDz5D2lgbIicHCJXZxibs2Jr52Q/132, createdBy=c3db5138446, createdName=1466f1b5m86(暂无昵称), createdTime=Wed Jul 28 11:36:28 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908802, encodeId=f632908802ba, content=加深了解了,有进一步提高, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4e11681921, createdName=1de38778m63(暂无匿称), createdTime=Thu Dec 17 10:22:56 CST 2020, time=2020-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892602, encodeId=7e59892602dc, content=写的好详细,非常的清晰,好评呀,太实用了简直。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=66725420674, createdName=ms1000001200805837, createdTime=Sat Oct 17 09:22:48 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=881331, encodeId=6e2088133139, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200831/c8dbac41da994ba0985636b0b4468384/d0c0ab57e8594d71b12e5e96a9e237da.jpg, createdBy=b9385199067, createdName=tckey, createdTime=Mon Aug 31 13:59:17 CST 2020, time=2020-08-31, status=1, ipAttribution=)]
    2020-12-17 1de38778m63(暂无匿称)

    加深了解了,有进一步提高

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1008194, encodeId=33d8100819420, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2965573882, createdName=张炜嫦, createdTime=Sun Aug 15 23:26:56 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1003286, encodeId=66d21003286ba, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIqlnCibWjuDUAgaCHwFuMzAuMjyriarZStfbH4awkBQFoYtqff6tfJDz5D2lgbIicHCJXZxibs2Jr52Q/132, createdBy=c3db5138446, createdName=1466f1b5m86(暂无昵称), createdTime=Wed Jul 28 11:36:28 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908802, encodeId=f632908802ba, content=加深了解了,有进一步提高, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4e11681921, createdName=1de38778m63(暂无匿称), createdTime=Thu Dec 17 10:22:56 CST 2020, time=2020-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892602, encodeId=7e59892602dc, content=写的好详细,非常的清晰,好评呀,太实用了简直。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=66725420674, createdName=ms1000001200805837, createdTime=Sat Oct 17 09:22:48 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=881331, encodeId=6e2088133139, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200831/c8dbac41da994ba0985636b0b4468384/d0c0ab57e8594d71b12e5e96a9e237da.jpg, createdBy=b9385199067, createdName=tckey, createdTime=Mon Aug 31 13:59:17 CST 2020, time=2020-08-31, status=1, ipAttribution=)]
    2020-10-17 ms1000001200805837

    写的好详细,非常的清晰,好评呀,太实用了简直。

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1008194, encodeId=33d8100819420, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2965573882, createdName=张炜嫦, createdTime=Sun Aug 15 23:26:56 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1003286, encodeId=66d21003286ba, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIqlnCibWjuDUAgaCHwFuMzAuMjyriarZStfbH4awkBQFoYtqff6tfJDz5D2lgbIicHCJXZxibs2Jr52Q/132, createdBy=c3db5138446, createdName=1466f1b5m86(暂无昵称), createdTime=Wed Jul 28 11:36:28 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=908802, encodeId=f632908802ba, content=加深了解了,有进一步提高, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e4e11681921, createdName=1de38778m63(暂无匿称), createdTime=Thu Dec 17 10:22:56 CST 2020, time=2020-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=892602, encodeId=7e59892602dc, content=写的好详细,非常的清晰,好评呀,太实用了简直。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=144, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=66725420674, createdName=ms1000001200805837, createdTime=Sat Oct 17 09:22:48 CST 2020, time=2020-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=881331, encodeId=6e2088133139, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200831/c8dbac41da994ba0985636b0b4468384/d0c0ab57e8594d71b12e5e96a9e237da.jpg, createdBy=b9385199067, createdName=tckey, createdTime=Mon Aug 31 13:59:17 CST 2020, time=2020-08-31, status=1, ipAttribution=)]
    2020-08-31 tckey

    学习了

    0

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