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Kugoneka uye kuchengetedzwa kwekugadziriswa mushure mevenous thromboembolism

Abstract

Background

Venous thromboembolism chirwere chinouraya. Muvanopona, madhigirii akasiyana ezvichemo zvekushanda zvinoda kudzoreredzwa kana kudziviswa (semuenzaniso, post-thrombotic syndrome, pulmonary hypertension). Nokudaro, kudzorerwa shure kwevenous thromboembolism kunokurudzirwa muGermany. Nekudaro, chirongwa chekuvandudza chakarongeka hachina kutsanangurwa chechiratidzo ichi. Pano, tinopa ruzivo rweimwe nzvimbo yekudzorera.

Nzira

Data kubva zvakatevedzanapulmonary embolism(PE) varwere vakaendeswa kune chirongwa che 3-vhiki yekurapa varwere kubva ku2006 kusvika ku2014 vakaongororwa zvakare.

Results

Pamwe chete, varwere mazana mana nemakumi maviri nevaviri vakaonekwa. Nguva yezera yaive 63.9 ± 13.5 makore, iyo inorema body mass index (BMI) yaive 30.6±6.2 kg/m2, uye 51.9% vaive vakadzi. Deep vein thrombosis maererano nePE yaizivikanwa ne55.5% yevarwere vose. Takashandisa nzira dzakasiyana-siyana dzekurapa dzakadai sekudzidzira bhasikoro nekuongororwa kwemoyo mu86.7%, kudzidzira kufema mu82.5%, kurapa kwemvura / kushambira mu40.1%, uye kurapwa kwechiremba mu14.9% yevarwere vose. Zviitiko zvakashata (AEs) zvakaitika muvarwere ve57 munguva ye3-vhiki yekudzorera nguva. MaAE ainyanyozivikanwa aitonhora (n = 6), manyoka (n = 5), uye hutachiona hwepamusoro kana hwezasi hwekufema hwairapwa nemishonga inorwisa mabhakitiriya (n = 5). Nekudaro, varwere vatatu vari pasi peanticoagulation therapy vakatambura nekubuda ropa, izvo zvaive zvakakosha mune imwe. Varwere vana (0.9%) vaifanira kuendeswa kuchipatara chepamusoro nekuda kwezvikonzero zvisingaenderani nePE (acute coronary syndrome, pharyngeal abscess, uye acute abdominal matambudziko). Hapana pesvedzero yehupi hwekupindira kwekuita kwemuviri pane chiitiko chechero AE yakawanikwa.

Mhedziso

Sezvo PE chirwere chinouraya, zvinoratidzika zvinonzwisisika kukurudzira kugadziriswa zvishoma muvarwere vePE vane njodzi yepakati kana yakakwirira. Inoratidzwa kekutanga muchidzidzo ichi kuti chirongwa chekugadzirisa mushure mePE yakachengeteka. Nekudaro, kushanda nesimba uye kuchengetedzeka munguva refu kunoda kuongororwa zvine hungwaru.

Keywords: venous thromboembolism, pulmonary embolism, kugadzirisa