Prophylaxis for thromboembolism in hospitalized medical patients
Prophylaxis for thromboembolism in hospitalized medical patients
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DOI：
10.1056/nejmcp067264
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发表时间：
2007-04-05
影响因子：
158.5
通讯作者：
Francis, Charles W.
中科院分区：
文献类型：
--
作者：
Francis, Charles W.
前言这篇日志以一个突出临床常见问题的病例小插曲开始。然后提出支持各种战略的证据，然后审查现有的正式准则。文章最后提出了作者的临床建议。第一阶段一位62岁的男性因发热、咳嗽和呼吸困难入院。他很虚弱，似乎脱水，并有脓痰。他的体温是39.2摄氏度，呼吸22，血压128/69毫米汞柱。左下肺野有湿罗音，胸片显示左下肺叶密度与肺炎一致。是否应提供血栓预防？如果是，以何种形式？临床问题静脉血栓栓塞是住院患者可预防疾病和死亡的常见原因。约25%的静脉血栓栓塞病例与住院治疗有关，1，20和50例。
ForewordThisJournalfeature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.StageA 62-year-old man is admitted with fever, cough, and dyspnea. He is weak, appears to be dehydrated, and has purulent sputum. His temperature is 39.2°C, respirations 22, and blood pressure 128/69 mm Hg. There are crackles over the left lower lung field, and chest radiography shows a density in the left lower lobe that is consistent with pneumonia. Should thromboprophylaxis be provided? If so, in what form?The Clinical ProblemVenous thromboembolism is a frequent cause of preventable illness and death in hospitalized patients. About 25% of all cases of venous thromboembolism are associated with hospitalization,1,2and 50 . . .