ABSTRACT
Venous thromboembolism ( VTE) is one of the common complications of gynecological pelvic surgery. The incidence of VTE is increased year by year and the mortality was increased. Therefore the prevention and treatment of postoperative VTE in patients with gynecological pelvic surgery should be given high attention. Reviewing and summarizing the related literatures on the etiology, diagnosis, treatment and prevention of VTE after gynecological pelvic surgery, it is concluded that the early clinical symptoms of VTE after gynecological pelvic surgery are atypical, and clinical diagnosis needs to be made by means of platelet count, D-Dimer, coagulation function and color Doppler ultrasonography of both lower extremities. Anticoagulation, anti-platelet, elastic socks, intermittent pneumatic pressure pump and inferior vena cava filter are the main prevention and treatment methods. Preventive treatment before and after surgery is partic-ularly important.
ABSTRACT
Introduction: Venous thrombo embolism (VTE) is a frequent cause of preventable illness and death in hospitalized patients. 25% of all cases of venous thrombo embolism are associated with hospitalization and 50 to 75% of cases of VTE in hospitalized patients occur on those in medical wards. Aim of the Study: Prevalence of Deep vein thrombosis in patients admitted with acute stroke. The need for routine anticoagulation for prophylaxis against DVT in acute stroke patients. Materials and methods: Out of 145 patients enrolled for the study after applying the exclusion criteria 50 patients were selected for duplex ultrasonography of lower limb venous system. Results: In our study the prevalence of DVT in acute stroke was analyzed by ultrasound venous Doppler of lower limbs. The analysis of co morbid conditions like diabetes, systemic hypertension, ischemic heart disease, smoking and alcoholism were analyzed to find out if there was any association between their presence and occurrence of DVT. In all these parameters compared within the group of DVT positive patients the p value was more than 0.05 which is statistically insignificant. Conclusion: The prevalence of DVT in acute stroke patients in our hospital group was 6% which is significantly less than that observed in western population. Duplex USG is a useful tool which can be used as a screening tool for early diagnosis of DVT. DVT occurs more commonly in paralyzed limb than non paralyzed limb.
ABSTRACT
Objective To develop an intelligent evaluation and automatic warning system to improve the diagnosis rate of venous thrombo embolism (VTE) and strengthen its standardized treatment.Methods A clinical data center was constructed by using data extraction,conversion and loading,which involved in military medical system,clinical laboratory system,electronic medical record system and surgical anesthesia system.The warning model was established with international standards,clinician experiences,warning parameters selection by statistical method and weighted assignment.Results The system could predict the risk of the hospitalized patient for VTE rapidly and inform the doctor in time.Conclusion The system facilitates the doctor to prevent and control VTE,and thus is worthy promoting practically.
ABSTRACT
Gabriel Cano de Aponte was Governor of Chile since 1717 and util his death in 1733, being 68 years old. As a soldier, he was an experimented horse rider. The sequence ofevents that caused his death three months after an equestrian accident are unclear. A systematic clinical analysis of the later is the main objective of this review. Historians have documented Cano de Aponte's "inclination for unbridled fun and equestrian exercises". During a holiday Cano de Aponte suffered a horse fall and subsequent crushing by the latter. It has been stated that a spinal lesion caused by the accident kept him bedridden for a period of three months, clear in reason and with intense pain, before his death. However, there is no evidence on historie data that conveys any typical sign associated to spinal injury following the accident. Therefore we suggest that Cano de Aponte suffered a complex pelvic ring fracture. The fact that he was prostrated, lucid, but suffered and intense pain best sustains the hypothesis of a pelvic fracture. After the initial period, one ofthe most common causes of death resulting from a pelvic fracture is deep venous thrombosis with secondary pulmonary thromboembolism. This must have been the sequence ofevents that most probably caused Cano de Aponte's death).