{"id":33588,"date":"2024-05-13T04:01:43","date_gmt":"2024-05-13T04:01:43","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=33588"},"modified":"2024-05-13T04:01:43","modified_gmt":"2024-05-13T04:01:43","slug":"%e6%80%a5%e6%80%a7%e4%b8%8b%e8%82%a2%e6%b7%b1%e9%9d%99%e8%84%89%e8%a1%80%e6%a0%93%ef%bc%8c%e7%bb%9d%e5%af%b9%e5%8d%a7%e5%ba%8a%e8%bf%98%e6%98%af%e5%b0%bd%e6%97%a9%e4%b8%8b%e5%ba%8a%e6%b4%bb%e5%8a%a8","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=33588","title":{"rendered":"\u6025\u6027\u4e0b\u80a2\u6df1\u9759\u8109\u8840\u6813\uff0c\u7edd\u5bf9\u5367\u5e8a\u8fd8\u662f\u5c3d\u65e9\u4e0b\u5e8a\u6d3b\u52a8\uff1f"},"content":{"rendered":"

\u300c\u674e\u5927\u592b\uff0c10 \u5e8a\u8001\u7237\u5b50\u4f9d\u4ece\u6027\u592a\u5dee\u4e86\uff0c\u53c8\u4e0d\u77e5\u9053\u6e9c\u54ea\u91cc\u4e86\uff0cDVT \u8981\u7edd\u5bf9\u5367\u5e8a\uff0c\u4e0d\u80fd\u4e0b\u5730\uff0c\u5403\u559d\u62c9\u6492\u90fd\u5728\u5e8a\u4e0a\uff0c\u6211\u5ba3\u6559\u4e86\u65e0\u6570\u6b21\u4e86\uff0c\u8001\u4eba\u5bb6\u5c31\u662f\u4e0d\u542c\u2026\u2026\u300d\u3002\u8fd9\u4e2a\u573a\u666f\u5728\u75c5\u623f\u91cc\u4e0d\u5c11\u89c1\uff0c\u4f46\u5728\u8d8a\u6765\u8d8a\u5f3a\u8c03\u751f\u6d3b\u8d28\u91cf\u7684\u5927\u80cc\u666f\u4e0b , \u8d8a\u6765\u8d8a\u591a\u7684\u6025\u6027\u6df1\u9759\u8109\u8840\u6813\uff08DVT\uff09\u60a3\u8005\u5f00\u59cb\u5411\u533b\u751f\u54a8\u8be2\uff0c\u662f\u5426\u8981\u4e00\u76f4\u8eba\u5728\u5e8a\u4e0a\uff1f\u8fd8\u662f\u53ef\u4ee5\u4e0b\u5730\u8d70\u4e00\u8d70 ? \u4f5c\u4e3a\u4e3b\u8bca\u533b\u5e08\u7684\u4f60\uff0c\u5982\u4f55\u89e3\u7b54\uff1f<\/p>\n

01 <\/p>\n

\u4f60\u4e3a\u4ec0\u4e48\u5efa\u8bae\u60a3\u8005\u5367\u5e8a\uff1f<\/p>\n

\u539f\u56e0\u4e00\uff1a\u5367\u5e8a\u4f11\u606f\u80fd\u51cf\u8f7b DVT \u4e34\u5e8a\u75c7\u72b6\uff1f\u6709\u5b66\u8005 [1]<\/sup>\u5c06\u786e\u8bca\u7684 45 \u4f8b DVT \u75c5\u4eba\u5206\u4e3a A \u7ec4\u91c7\u7528\u975e\u5f39\u6027\u7ef7\u5e26\u52a0\u538b\u5e76\u6b65\u884c\u7ec3\u4e60\uff0cB \u7ec4\u91c7\u7528\u5f39\u529b\u889c\u52a0\u538b\u5e76\u6b65\u884c\u7ec3\u4e60\uff0cC \u7ec4\u5367\u5e8a\u4f11\u606f\uff0c\u5747\u63a5\u53d7\u6297\u51dd\u5904\u7406\uff0c\u7ed3\u679c\u793a\uff1aA\u3001B \u7ec4\u75bc\u75db\u611f\u4ee5\u53ca\u4e0b\u80a2\u80bf\u80c0\u7684\u6d88\u9000\u901f\u5ea6\u6bd4 C \u7ec4\u66f4\u5feb\u3002\u8fd9\u4e0e Liu \u7b49 [2]<\/sup>\u7814\u7a76\u7684\u7ed3\u679c\u4e00\u81f4: \u4e0e\u5367\u5e8a\u76f8\u6bd4\uff0c\u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8\u53ef\u52a0\u901f\u4e0b\u80a2\u8840\u6db2\u7684\u5faa\u73af\uff0c\u907f\u514d\u8840\u6d41\u7600\u6ede\uff0c\u66f4\u6709\u52a9\u4e8e\u7f13\u89e3\u60a3\u80a2\u80bf\u80c0\u7b49\u75c7\u72b6\u3002\u56e0\u6b64\uff0c\u8be5\u95ee\u9898\u7684\u7b54\u6848\u4ecd\u662f\u5b58\u7591\u7684\u3002\u539f\u56e0\u4e8c\uff1a\u5367\u5e8a\u4f11\u606f\u80fd\u964d\u4f4e\u6df1\u9759\u8109\u8840\u6813\u540e\u7efc\u5408\u5f81\uff1f\u76ee\u524d\u5bf9 DVT \u60a3\u8005\u60a3\u6df1\u9759\u8109\u8840\u6813\u540e\u7efc\u5408\u5f81\u7684\u7814\u7a76\u8f83\u5c11\u3002\u65e9\u5148\u4e00\u9879\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c [3]<\/sup>\u6bd4\u8f83\u4e86 53 \u4f8b DVT \u60a3\u8005\u6025\u6027\u671f\u5367\u5e8a\u4e0e\u52a0\u538b\u6cbb\u7597\u540e\u79bb\u5e8a\u6d3b\u52a8\u5bf9\u6df1\u9759\u8109\u8840\u6813\u540e\u7efc\u5408\u5f81\u53d1\u75c5\u7387\u7684\u5f71\u54cd\uff0c\u968f\u8bbf\u65f6\u957f 2 \u5e74\uff0c\u7ed3\u679c\u793a\u5367\u5e8a\u4f11\u606f\u5e76\u4e0d\u80fd\u964d\u4f4e\u6df1\u9759\u8109\u8840\u6813\u540e\u7efc\u5408\u5f81\u53d1\u75c5\u7387\u3002\u56e0\u6b64\uff0c\u8be5\u95ee\u9898\u7684\u7b54\u6848\u4e5f\u662f\u5b58\u7591\u7684\u3002\u539f\u56e0\u4e09\uff1a\u56e0\u4e3a\u4e00\u76f4\u4ee5\u6765\u662f\u8fd9\u4e48\u505a\u7684\uff1f\u4f20\u7edf\u7406\u5ff5\u4e0a\u8ba4\u4e3a\u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8\u4e5f\u8bb8\u4f1a\u4f7f\u5f97\u6813\u5b50\u8131\u843d\uff0c\u800c\u540e\u4f34\u968f\u8840\u6d41\u8fd0\u884c\u5230\u5176\u5b83\u7ec4\u7ec7\u5668\u5b98\uff0c\u5f15\u53d1\u65b0\u7684\u6813\u585e\uff0c\u56e0\u6b64\u8fc7\u53bb\u7684\u6570\u5341\u5e74\u4e2d\uff0cDVT \u60a3\u8005\u4e00\u76f4\u88ab\u8981\u6c42\u7edd\u5bf9\u5367\u5e8a\u4f11\u606f 10-14d\uff0c\u4f46\u8fd9\u79cd\u7406\u8bba\u7f3a\u5c11\u5f3a\u800c\u6709\u529b\u7684\u4e8b\u5b9e\u4f9d\u636e\u6765\u652f\u6491\uff0c\u7136\u800c\u5374\u4e00\u76f4\u662f\u90e8\u5206\u4e34\u5e8a\u533b\u751f\u6240\u9075\u5faa\u7684\u6cbb\u7597\u65b9\u6848\u3002\u5faa\u8bc1\u533b\u5b66\u65f6\u4ee3\uff0c\u5e94\u6709\u66f4\u591a\u7684\u6570\u636e\u8bba\u8bc1\u8be5\u7406\u8bba\u3002\u56e0\u6b64\uff0c\u8be5\u95ee\u9898\u7684\u7b54\u6848\u4e5f\u662f\u5b58\u7591\u7684\u3002<\/p>\n

02 <\/p>\n

\u5367\u5e8a\u4f11\u606f\uff0c\u53ef\u80fd\u4f1a\u5e26\u6765\u4ec0\u4e48\uff1f<\/p>\n

\u5367\u5e8a\u53ef\u80fd\u65e0\u6cd5\u5e26\u6765\u4e0a\u6587\u6240\u8ff0\u7684\u4e34\u5e8a\u83b7\u76ca\uff0c\u4f46\u5b83\u5374\u80fd\u5bfc\u81f4\u6211\u4eec\u4e0d\u60f3\u770b\u5230\u7684\u4e34\u5e8a\u7ed3\u5c40\uff1aVirchow \u4e09\u8981\u7d20\u4e4b\u4e00\u5c31\u662f\u8840\u6d41\u7600\u6ede\uff0c\u800c\u5367\u5e8a\u663e\u7136\u4f1a\u5f15\u8d77\u8840\u6d41\u7600\u6ede\uff0c\u56e0\u6b64\u5176\u672c\u8eab\u5c31\u5c5e\u4e8e DVT \u7684\u9ad8\u5371\u56e0\u7d20\u3002\u90a3\u4e48\uff0c\u6211\u4eec\u6709\u7406\u7531\u62c5\u5fc3 DVT \u60a3\u8005\u7edd\u5bf9\u5367\u5e8a\u65f6\u53ef\u80fd\u4f1a\u5bfc\u81f4\u8840\u6813\u5ef6\u4f38\u3002\u8fd9\u6837\u7684\u62c5\u5fc3\u5e76\u975e\u675e\u4eba\u5fe7\u5929\uff1a\u591a\u5e74\u524d\u5c31\u6709\u7814\u7a76\u53d1\u73b0 DVT \u60a3\u8005\u8fde\u7eed\u5367\u5e8a 5 \u5929\u4ee5\u4e0a\uff0c\u5176\u8840\u6813\u5ef6\u4f38\u7387\u8fbe 26%\uff0c\u800c 2 \u5929\u5185\u6d3b\u52a8\u8005\uff0c\u8840\u6813\u5ef6\u4f38\u7387\u4ec5\u4e3a 1%[4]<\/sup>\u3002<\/p>\n

03 <\/p>\n

\u4e0b\u5e8a\u6d3b\u52a8\uff0c\u4f60\u5728\u62c5\u5fc3\u4ec0\u4e48\uff1f<\/p>\n

\u6211\u4eec\u6700\u62c5\u5fc3\u7684\u65e0\u975e\u662f DVT \u4e0b\u5e8a\u6d3b\u52a8\u540e\u53ef\u80fd\u5bfc\u81f4 PE \u7684\u53d1\u751f\u7387\u589e\u52a0\u3002\u73b0\u4ee3\u533b\u5b66\u65e9\u5df2\u8fdb\u5165\u5faa\u8bc1\u533b\u5b66\u65f6\u4ee3\uff0c\u800c\u975e\u300c\u552f\u5fc3\u8bba\u300d\uff1a1. \u6765\u81ea\u52a8\u7269\u5b9e\u9a8c\u7684\u8bc1\u636e\u9f50\u6d69\u5c71\u7b49 [5]<\/sup>\u901a\u8fc7\u5bf9\u5154\u5b50\u5efa\u7acb\u4e0b\u80a2 DVT \u6a21\u578b\uff0c\u7814\u7a76 DVT \u5728\u8840\u6813\u5f62\u6210\u7684\u4e0d\u540c\u65f6\u671f\u6d3b\u52a8\u5bf9\u80ba\u6813\u585e\u7684\u5f71\u54cd\uff0c\u7ed3\u8bba\u662f\u5728\u6297\u51dd\u6cbb\u7597\u7684\u524d\u63d0\u4e0b\u65e9\u671f\u6d3b\u52a8\u5e76\u4e0d\u589e\u52a0\u80ba\u6813\u585e\u7684\u53d1\u751f\u7387\uff1b\u5373\u4f7f\u6d3b\u52a8\u5f15\u8d77\u5c11\u91cf\u7684\u8840\u6813\u8131\u843d\uff0c\u673a\u4f53\u81ea\u8eab\u6eb6\u6813\u7cfb\u7edf\u4e5f\u4f1a\u9010\u6e10\u6eb6\u89e3\u8840\u6813\uff0c\u4e0d\u4f1a\u589e\u52a0\u80ba\u6813\u585e\u98ce\u9669\u30022. \u6765\u81ea Meta \u5206\u6790\u7684\u8bc1\u636e\u5b59\u5efa\u534e\u7b49 [6]<\/sup>\u5c06 13 \u7bc7\u4e34\u5e8a\u5bf9\u7167\u7814\u7a76\u8fdb\u884c Meta \u5206\u6790\u540e\u53d1\u73b0\uff0c\u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8\u4e0d\u4f1a\u4f7f\u5f97 DVT \u8fdb\u5c55\uff0c\u4ea6\u4e0d\u4f1a\u589e\u52a0 PE \u7684\u53d1\u751f\u7387\uff1b\u7fc1\u8273\u79cb\u7b49\u7eb3\u5165 9 \u7bc7 RCT \u7814\u7a76\u7684 Meta \u5206\u6790\u540e\u7ed3\u679c\u540c\u6837\u663e\u793a, \u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8\u4e0d\u4f1a\u5bfc\u81f4 DVT \u7684\u80ba\u6813\u585e\u53d1\u751f\u7387\u589e\u52a0 [7]<\/sup>\u3002   <\/p>\n

04 <\/p>\n

\u56fd\u5185\u5916\u6307\u5357\u5982\u4f55\u5efa\u8bae\uff1f<\/p>\n

\u6211\u56fd 2008 \u5e74\u53d1\u5e03\u7684\u7b2c\u4e00\u7248\u300a\u6df1\u9759\u8109\u8840\u6813\u5f62\u6210\u7684\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357\u300b\u4e2d\u66fe\u63a8\u8350\u65e9\u671f DVT \u60a3\u8005\u6297\u51dd\u6cbb\u7597\u7684\u540c\u65f6\uff0c\u5e94\u4e25\u683c\u5367\u5e8a\u4f11\u606f\uff0c\u7406\u7531\u662f\u9632\u6b62\u8840\u6813\u8131\u843d\uff0c\u4f46\u4e4b\u540e\u7684 2013 \u5e74\u53d1\u5e03\u7684\u7b2c\u4e8c\u7248\u6307\u5357\u4ee5\u53ca 2017 \u5e74\u7684\u7b2c\u4e09\u7248\u6307\u5357\u91cc\u5747\u672a\u5bf9\u5367\u5e8a\u4f11\u606f\u505a\u51fa\u63a8\u8350\u3002\u6211\u56fd 2018 \u5e74\u300a\u80ba\u8840\u6813\u6813\u585e\u75c7\u8bca\u6cbb\u4e0e\u9884\u9632\u6307\u5357\u300b\u5efa\u8bae\uff0c\u5bf9\u4e8e\u8fd1\u7aef DVT \u4e0e\u9ad8\u5371 PTE\uff0c\u8003\u8651\u5176\u8840\u6813\u8131\u843d\u53ca\u518d\u6b21\u52a0\u91cd\u98ce\u9669\uff0c\u5efa\u8bae\u5728\u5145\u5206\u6297\u51dd\u6cbb\u7597\u4e4b\u540e\u5c3d\u65e9\u4e0b\u5e8a\u6d3b\u52a8\uff1b\u5bf9\u4e8e\u8fdc\u7aef DVT \u4e0e\u4f4e\u5371 PTE\uff0c\u5efa\u8bae\u5c3d\u65e9\u4e0b\u5e8a\u6d3b\u52a8\u3002\u7f8e\u56fd\u80f8\u79d1\u533b\u5e08\u534f\u4f1a 2012 \u5e74\u5236\u5b9a\u7684\u300a\u6297\u6813\u6cbb\u7597\u53ca\u8840\u6813\u9884\u9632\u6307\u5357\u300b\u6307\u51fa, \u5bf9 DVT \u6025\u6027\u671f\u60a3\u8005\u5728\u6709\u6548\u6297\u51dd\u4ee5\u53ca\u80fd\u591f\u8010\u53d7\u7684\u60c5\u51b5\u4e0b\uff0c\u5e94\u65e9\u671f\u4e0b\u5e8a\u6d3b\u52a8\uff0c\u4e14\u4e0d\u4f1a\u589e\u52a0\u80ba\u6813\u585e\u7684\u53d1\u751f\u3002\u8be5\u6307\u5357\u5728 2016 \u66f4\u65b0\u540e\u4ecd\u5efa\u8bae DVT \u75c5\u4eba\u5728\u6709\u6548\u6297\u51dd\u7684\u57fa\u7840\u4e0a\u5c3d\u65e9\u4e0b\u5e8a\u6d3b\u52a8\u3002\u6b27\u6d32\u5fc3\u810f\u75c5\u5b66\u4f1a\u5728 2021 \u5e74\u53d1\u8868\u7684\u6700\u65b0\u7248\u300a\u6025\u6027\u6df1\u9759\u8109\u8840\u6813\u5f62\u6210\u7684\u8bca\u65ad\u4e0e\u7ba1\u7406\u7684\u5171\u8bc6\u300b\u4e2d\u63a8\u8350\uff1a\u5bf9\u4e8e\u8fd1\u7aef DVT \u60a3\u8005\u53ef\u8003\u8651\u7acb\u5373\uff08\u8bca\u65ad\u540e < 24 \u5c0f\u65f6\uff09\u884c\u52a0\u538b\u6cbb\u7597\uff0c\u540c\u65f6\u7ed3\u5408\u65e9\u671f\u6d3b\u52a8\u6765\u7f13\u89e3\u60a3\u80a2\u80bf\u80c0\u3001\u75bc\u75db\u3001\u53d1\u70ed\u7b49\u75c7\u72b6\u3002\u7f8e\u56fd\u7269\u7406\u6cbb\u7597\u534f\u4f1a\/APTA \u4e8e 2022 \u5e74\u53d1\u5e03\u7684\u5faa\u8bc1\u4e34\u5e8a\u5b9e\u8df5\u6307\u5357\u300a\u7269\u7406\u6cbb\u7597\u5e08\u5728\u5177\u6709\u9759\u8109\u8840\u6813\u6813\u585e\u98ce\u9669\u6216\u88ab\u8bca\u65ad\u4e3a\u9759\u8109\u8840\u6813\u6813\u585e\u60a3\u8005\u7684\u7ba1\u7406\u4e2d\u7684\u4f5c\u7528\u300b\u4e2d\u63a8\u8350\uff1a\u5bf9\u4e8e\u8bca\u65ad\u4e0b\u80a2 DVT \u4e14\u5904\u4e8e\u6297\u51dd\u6cbb\u7597\u6c34\u5e73\u7684\u60a3\u8005\uff0c\u5e94\u5c3d\u65e9\u5f00\u59cb\u6d3b\u52a8\uff0c\u76f8\u6bd4\u4e0b\u5e8a\u6d3b\u52a8\u5e26\u6765\u7684\u98ce\u9669\uff0c\u5367\u5e8a\u4f11\u606f\u7684\u98ce\u9669\u66f4\u5927\u3002<\/p>\n

05 <\/p>\n

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