[卡蒂大学医院心内科女性静脉血栓栓塞性疾病]。

Le Mali medical Pub Date : 2024-01-01
B Sonfo, C A Thiam, A Kéita, Y Camara, A Diarra, M Sako, M Touré, M Konaté, I Sangaré, H O Ba, M Diakité, B Dembélé, H Camara, S Daffé, D Fofana, S Coulibaly, I Menta
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摘要

导言:静脉血栓栓塞性疾病(MTEV)包括:深静脉血栓(DVT)和肺栓塞(PE)。这项工作旨在确定女性的特殊性(如果存在的话):这是一项回顾性、描述性研究,在卡蒂大学医院心内科进行,研究时间为 2014 年 1 月 1 日至 2021 年 12 月 31 日。研究对象包括在此期间因静脉血栓栓塞性疾病住院的患者。研究变量包括人口社会数据、风险因素、临床和准临床参数、治疗和演变方面:我们共记录了 68 例 MTEV 病例,其中 40 例(58.8%)为女性。其中有 12 例(30%)深静脉血栓形成,25 例(62.5%)肺栓塞,3 例(7.5%)与肺栓塞有关。大多数患者(82.5%)是家庭主妇。产后病例占 10%。根据韦尔斯评分,93%的深静脉血栓形成病例的临床可能性较高,肺栓塞病例的临床可能性居中,为 50%。血管造影 CT 显示,80% 的病例为双侧肺栓塞。肝素和抗维生素 K 是最常用的药物。结论:女性比男性更容易患静脉血栓栓塞性疾病。结论:女性比男性更容易患静脉血栓栓塞疾病。复发并不少见。
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[Venous Thromboembolic Disease In Women In The Cardiology Department Of The Kati University Hospital].

Introduction: Venous thromboembolic disease (MTEV) includes: deep venous thrombosis (DVT) and pulmonary embolism (PE). This work was initiated to identify the female particularities if they exist.

Materials and method: This was a retrospective, descriptive study conductedin the cardiology department of the Kati university hospital over a period from January 01, 2014 to December 31, 2021. Patients hospitalized during the period for venousthromboembolic disease were included. The variables studied were demographic social data, risk factors, clinical and para-clinical parameters, therapeutic and evolutionary aspects.

Results: In total we recorded 68 cases of MTEV of which 40 (58.8%) women. There were 12 (30%) cases of deep vein thrombosis, 25 (62.5%) cases of pulmonary embolism and their association in 3 (7.5%) cases. The majority (82.5%) of patients were housewives. Thepostpartum accounted for 10% of cases. The clinical probability according to the Wells score was high in 93% of deep vein thrombosis, intermediate for cases of pulmonary embolism with 50%. Angio-CT showed that pulmonary embolism was bilateral in 80% of cases. Heparin and anti-vitamin K were the most commonly used. Mortality was 7.5%.

Conclusion: women are more victims of venous thromboembolic diseases than men. Postpartum is a special situation for women. Recurrences are not uncommon.

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