KHẢO SÁT HUYẾT KHỐI MỚI TĨNH MẠCH SÂU CHI DƯỚI Ở BỆNH NHÂN CÓ BỆNH NỘI KHOA CẤP TÍNH

Abstract

Background: Deep vein thrombosis (DVT) is frequent clinical problem in acute medical inpatients, clinical symptoms atypical, association with risk factors. Objectives: Studying the clinical and paraclinical characteristics of deep vein thrombosis and risk factors for DVT in acute medical diseases. Methods: A descriptive study was performed in Hải Dương Province General Hospital between August 2023 and August 2024. Results: The majority of cases of deep vein thrombosis in acute medical inpatients  is asymptomatic. A positive Homans's sign is the most common clinical syntoms of  symptomatic deep vein thrombosis. Location of thrombi: 62,5% of thrombi was at proximal, thrombi at the root of valve accounted for 76,8%, most of deep vein thrombosis was blocked incompletely (82,1%). The immobility, congestive heart failure NYHA IV, respiratory failure was associated with DVT in acute medical diseases with OR: 5,2; (95%CI: 1,2–8,9); OR: 2,3; (95%CI: 1,2–5,4); OR: 3,5; (95%CI: 2,3 –5,9). Conclusion: The majority of cases of deep vein thrombosis in acute medical inpatients  is asymptomatic. A positive Homans's sign is the most common clinical syntoms of  symptomatic deep vein thrombosis. The characteristic of deep vein thrombosis was common in proximal and blocked incompletely. The immobility, congestive heart failure NYHA IV, respiratory failure was associated with DVT in acute medical inpatients.