下肢深静脉血栓形成的几个方面的发病及治疗

D. Radjabov
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引用次数: 0

摘要

本文综述了目前对下肢深静脉血栓形成(DVT)的病因、发病机制、并发症、当代治疗方法、结果和治疗策略的了解。对文献资料的分析表明,尽管下肢深静脉血栓的诊断和治疗取得了重大进展,但在复杂的治疗和预防这种病理的严重后果方面仍存在许多未解决的问题。新的口服抗凝剂的出现导致血栓后疾病的发病率显著降低。然而,血栓形成后疾病的严重程度直接取决于深静脉血栓急性期治疗的有效性,以及遗传危险因素的存在。因此,优化疾病急性期的治疗和进一步的康复治疗,对患者进行长期的管理,以更好地实现下肢深静脉血栓段的再通,似乎是相关的,需要进一步的研究。
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Some aspects of etiopathogenesis and treatment of the deep venous thrombosis of lower limbs
   This review of the literature presents current understanding about the etiology, pathogenesis, complications, contemporary methods of treatment, outcomes, and the tactics of managing patients with deep venous thrombosis (DVT) of the lower limbs. Analysis of the data in a literature shows that despite significant advances in the diagnosis and treatment of DVT of the lower extremities, there are still many unresolved problems in terms of complex treatment and prevention of severe consequences of this pathology. The advent of new oral anticoagulants has led to a significant reduction in the incidence of post-thrombotic disease. However, the severity of post-thrombotic disease directly depends on the effectiveness of treatment in acute period of DVT, as well as the presence of hereditary risk factors. In this regard, the optimization of therapy in acute phase of disease and further rehabilitation therapy, management of patients in the long-term period, aimed at better recanalization of thrombosed segments of the lower limbs deep veins, seem to be relevant, requiring further research.
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