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目的:探讨妇科术后下肢深静脉血栓形成的机理、预防措施及治疗方法。方法:回顾3例妇科术后下肢深静脉血栓病例的临床特点及诊断和治疗情况。结果:下肢深静脉血栓形成与血流缓慢和静脉内膜损伤、血液高凝状态等各种因素有关。结论:术后减少止血药物的应用,早期下床活动可有效预防术后下肢深静脉血栓的发生,广谱抗生素治疗和抗凝治疗是预防下肢静脉血栓形成的有效方法。
Objective: To investigate the mechanism, preventive measures and treatment of deep venous thrombosis in lower limbs after gynecological surgery. Methods: The clinical features, diagnosis and treatment of 3 cases of lower extremity deep venous thrombosis after gynecology were reviewed. Results: Lower extremity deep venous thrombosis was associated with various factors such as slow blood flow and venous intimal injury, hypercoagulability of blood. Conclusions: The application of hemostatic drugs to reduce the incidence of postoperative lower extremity venous thrombosis can be effectively prevented by early application of hemostatic drugs. Broad-spectrum antibiotic therapy and anticoagulant therapy are effective methods to prevent venous thrombosis of the lower extremities.