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Prognostic significance of residual thrombus in patients with venous thromboembolism: a review

Prognostic significance of residual thrombus in patients with venous thromboembolism: a review

Zhonghua Jie He He Hu Xi Za Zhi 42(2): 114-118

残余血栓(residual thrombosis)是指VTE患者经3或6个月常规抗凝治疗后,不能被自身纤溶机制完全溶解且发生部分机化或纤维化的血栓。目前用于评估残余血栓的方法主要包括下肢加压超声、肺通气-灌注扫描、计算机断层扫描肺动脉造影等。已有研究证实残余血栓是导致VTE并发症、复发及死亡的高危因素。因此,临床医生应该重视残余血栓,在急性期就开始正确指导患者用药及个体化治疗,根据评估结果适当调整延展期抗凝疗程,以减少残余血栓的形成,进而减少VTE的相关并发症,改善患者长期预后。.

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Accession: 066446304

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PMID: 30704183

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