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博士論文
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DOI[info:doi/10.1097/BRS.0000000000000295]のデータに遷移します
Prevalence and Countermeasures for Venous Thromboembolic Diseases Associated With Spinal Surgery A Follow-up Study of an Institutional Protocol in 209 Patients
- 国立国会図書館永続的識別子
- info:ndljp/pid/9530071
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- application/pdfStudy Design. A prospective study of 209 patients undergoing spinal surgery. Objective. To determine the incidence of venous thromboemb...
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2017-04-02 再収集
2017-08-02 再収集
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デジタル
- 資料種別
- 博士論文
- 著者・編者
- Matsunaga, Hidetoshi
- 出版事項
- 出版年月日等
- 2015-01-01
- 出版年(W3CDTF)
- 2015-01-01
- 授与機関名
- 三重大学
- 授与年月日
- 2015-03-25
- 授与年月日(W3CDTF)
- 2015-03-25
- 報告番号
- 乙医学第979号
- 学位
- 博士(医学)
- 博論授与番号
- 乙医学第979号
- 本文の言語コード
- eng
- 著者別名
- 対象利用者
- 一般
- 一般注記
- application/pdfStudy Design. A prospective study of 209 patients undergoing spinal surgery. Objective. To determine the incidence of venous thromboembolic diseases, including deep venous thrombosis (DVT) and pulmonary embolism (PE), and to evaluate the effectiveness of an institutional protocol for venous thromboembolic diseases during the spinal surgery perioperative period. Summary of Background Data. Although patients undergoing spinal surgery are at risk of venous thromboembolism (VTE), there are no universally accepted guidelines for VTE prophylaxis. Methods. Between December 2006 and January 2011, 209 patients undergoing spinal surgery (121 males, 88 females; average age: 64 yr), who also had ultrasonographic assessments of both legs before and after surgery, were prospectively assessed. A pneumatic sequential compression device and standard compression stockings were used for primary VTE prophylaxis. In Mie University Hospital protocol, pharmacological agents were not used for VTE prophylaxis after surgery. However, when a distal type DVT was found preoperatively, an anticoagulant medication was administered until 6 hours prior to surgery. After detection of DVTs, weekly ultrasonography assessed the DVT. Results. Twenty-three patients (11.0%) showed VTE in the spinal surgery perioperative period. Nine patients (4.3%) had VTE (PE with proximal DVT, 1 [0.5%]; distal DVT, 8 [3.8%]) before surgery. In the one case of asymptomatic PE with proximal DVT, an inferior vena cava filter was placed before surgery. Fourteen patients (6.7%) developed new-onset VTE (PE with proximal DVT, 2 [1.0%]; distal DVT, 12 [5.9%]) after spinal surgery. New-onset PE with proximal DVT occurred in 2 patients after surgery. Follow-up ultrasonographic assessment showed that the DVT disappeared completely in 85% (17/20) of patients with a distal type DVT during the perioperative period. Conclusion. DVT assessment using ultrasonography is important for proper management of VTE during the perioperative period of spinal surgery, especially for high-risk patients, such as those with advanced age or neurological deficit. The institutional protocol for VTE using pneumatic sequential compression device and compression stockings is effective, although the administration of chemoprophylaxis should be considered for high-risk patients, such as those with spinal tumors and spinal trauma.本文 / Departments of Orthopaedic Surgery and Spine Surgery andMedical Engineering, Mie University Graduate School of Medicine7phttp://journals.lww.com/spinejournal/Abstract/2014/05010/Prevalence_and_Countermeasures_for_Venous.3.aspx
- DOI
- info:doi/10.1097/BRS.0000000000000295
- 国立国会図書館永続的識別子
- info:ndljp/pid/9530071
- コレクション(共通)
- コレクション(障害者向け資料:レベル1)
- コレクション(個別)
- 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
- 収集根拠
- 博士論文(自動収集)
- 受理日(W3CDTF)
- 2015-11-01T14:53:18+09:00
- 作成日(W3CDTF)
- 2017-02-18
- 記録形式(IMT)
- application/pdf
- オンライン閲覧公開範囲
- 国立国会図書館内限定公開
- デジタル化資料送信
- 図書館・個人送信対象外
- 遠隔複写可否(NDL)
- 可
- 連携機関・データベース
- 国立国会図書館 : 国立国会図書館デジタルコレクション