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口腔颌面外科围手术期静脉血栓栓塞症评估与预防专家共识

Expert consensus on assessment and prevention of perioperative venous thromboembolism in oral and maxillofacial surgery

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【作者】 孙沫逸郭伟冉炜唐瞻贵李龙江孙志军孟箭任国欣廖贵清郑家伟尚伟张东升杨凯龚忠诚武和明席庆谢卫红孔琳王月红魏建华杨耀武吴炜侯锐牛芳桥张春谊杨霞

【Author】 SUN Moyi;GUO Wei;RAN Wei;TANG Zhangui;LI Longjiang;SUN Zhijun;MENG Jian;REN Guoxin;LIAO Guiqing;ZHENG Jiawei;SHANG Wei;ZHANG Dongsheng;YANG Kai;GONG Zhongcheng;WU Heming;XI Qing;XIE Weihong;KONG Lin;WANG Yuehong;WEI Jianhua;YANG Yaowu;WU Wei;HOU Rui;NIU Fangqiao;ZHANG Chunyi;YANG Xia;State Key Laboratory of Military Stomatology, National Clinical Research, Shaanxi Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University;Department of Oral and Maxillofacial Surgery, Shanghai Ninth People’s Hospital, Shang Haijiaotong University School of Medicine;The First Affiliated Hospital, Sun Yat-sen University;Central South University, Xiangya School of Stomatology;West China School Hospital of Stomatology Sichuan University;Department of Oral and Maxillofacial Surgery, Hospital of Stomatology Wuhan University;Department of Stomatology, Xuzhou Central Hospital;Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yan-sen University;Department of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University;The Second Affiliated Hospital of Shandong First Medical University;The First Affiliated Hospital of Chongqing Medical University;Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Xinjiang Medical University;Department of Oral and Maxillofacial Surgery, Stomatological College of Nanjing Medical University;Department of Stomatology, Chinese PLA General Hospital;Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University;Fudan University Shanghai Cancer Center;State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases,Department of Medical Rehabilitation, School of Stomatology, the Fourth Military Medical University;

【通讯作者】 杨霞;

【机构】 军事口腔医学国家重点实验室国家口腔疾病临床医学研究中心陕西省口腔疾病临床医学研究中心第四军医大学口腔医院口腔颌面外科上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科中山大学第一附属医院中南大学湘雅口腔医学院四川大学华西口腔医学院武汉大学口腔医院头颈肿瘤外科徐州市中心医院口腔科中山大学光华口腔医学院附属口腔医院颌面外科青岛大学附属医院口腔颌面外科山东第一医科大学第二附属医院重庆医科大学附属第一医院口腔颌面外科新疆医科大学第一附属医院口腔颌面外科南京医科大学口腔医学院口腔颌面外科中国人民解放军总医院(北京301医院)口腔科郑州大学第一附属医院口腔颌面外科复旦大学附属肿瘤医院放射治疗科军事口腔医学国家重点实验室口腔疾病国家临床医学研究中心陕西省口腔疾病临床医学研究中心第四军医大学口腔医院医疗康复科

【摘要】 静脉血栓栓塞症(VTE)是临床常见病,其在口腔颌面外科围手术期发病率较低,但危害极大。临床上关于VTE评估的评分量表很多,且相关预防的指南也很多,但目前国内外对于口腔颌面外科围手术期VTE评估的评分量表以及相关预防的指南尚无明确规范。为尽量减少该疾病的发生,该文结合相关专家的经验,制定专家共识,对VTE的病因及临床表现、口腔颌面外科患者VTE的危险因素、评分量表以及预防措施进行阐述,制定了改良Caprini评分量表(口腔颌面外科试用版)、口腔颌面外科患者VTE的临床诊断流程图以及术后VTE预防流程图的建议方案,供临床医师参考。

【Abstract】 Venous thromboembolism(VTE) is a common diseases in clinic. The incidence is low in perioperative period of oral and maxillofacial surgery, but it is very harmful for patients. There are many scoring scales for the evaluation of VTE, and many guidelines for the prevention of VTE. However, at present, there is no clear specification for the scoring scale and related prevention guideline for VTE in oral and maxillofacial surgery. In order to minimize the occurrence of VTE and provide reference for clinical practice, relevant experts discussed and formulated this consensus on the etiology and clinical manifestations of VTE, the risk factors, scoring scales and preventive measures, developed the modified Caprini scale(the trial version for oral and maxillofacial surgery) and recommended protocol of the flow chart of clinical diagnosis and postoperative prevention of VTE in oral and maxillofacial surgery

【基金】 第四军医大学口腔医院新技术新业务(2019)(编号:41742921244)
  • 【文献出处】 实用口腔医学杂志 ,Journal of Practical Stomatology , 编辑部邮箱 ,2021年03期
  • 【分类号】R782;R543.6
  • 【被引频次】2
  • 【下载频次】407
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