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2010 ICSI健康保健指南:静脉血栓的预防

2010-08-01 临床系统改进协会

中文标题:

2010 ICSI健康保健指南:静脉血栓的预防

英文标题:

Health Care Guideline:Venous Thromboembolism Prophylaxis

发布机构:

临床系统改进协会

发布日期:

2010-08-01

简要介绍:

Clinical Highlights:All patients should be evaluated for venous thromboembolism risk upon hospital admission, change in level of care, providers and prior to discharge.All patients should receive proper education regarding venous thromboembolism risk, signs and symptoms, early and frequent mobilization, and clinically appropriate treatment/prophylaxis methods. All hospitalized patients who are high risk for venous thromboembolism should receive anticoagulation prophylaxis unless contraindicated.Aspirin alone is not recommended for routine venous thromboembolism prophylaxis following hip/knee arthroplasty but may be considered in combination with mechanical prophylaxis methods in patients without additional risk factors. Further study is needed. For all patients receiving spinal or epidural anesthesia, precautions should be taken when using anticoagulant prophylaxis to reduce the risk of epidural perispinal hematoma.Risk of venous thromboembolism development continues beyond hospitalization, and the need for postdischarge anticoagulation should be assessed.

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