ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA THUYÊN TẮC HUYẾT KHỐI TĨNH MẠCH TRÊN BỆNH NHÂN PHẪU THUẬT PHỤ KHOA TẠI BỆNH VIỆN BẠCH MAI NĂM 2018-2019

Abstract

Venous thromboembolism (VTE) is a silent progressive disease and is one of the not uncommon complications after gynecological surgery, if not focused towards the diagnosis, it will easily be missed and can lead to serious complications. to mortality due to pulmonary embolism. The disease has atypical symptoms, easy to be confused with other diseases, so the diagnosis is often considered based on the combination of clinical and laboratory symptoms suggesting a combination of screening for VTE. Objectives: To describe clinical and paraclinical characteristics of venous thromboembolism in gynecological surgery patients at Bach Mai hospital in 2018-2019. Subjects and methods: A cross-sectional descriptive study was performed on 576 gynecological surgery patients at the Department of Obstetrics and Gynecology, Bach Mai Hospital from January to the end of December 2019. Result: Prevalence of VTE in patients Gynecological surgeons accounted for 3.9%; 43.5% of study subjects showed symptoms, in which, leg pain [calf/Homan (+)] had the highest rate (39.1%); The most common time of thrombosis occurs within the first 1-5 days after surgery (60.9%); The slipper vein is the vein with the most thrombosis (69.6%) and mainly new thrombosis (86.9%); the proportion of patients with high levels of D-Dimer and CRP after surgery (95.7 in both indexes). Conclusion: Postoperative venous thromboembolism has atypical symptoms, easy to be confused with other diseases; Therefore, it is necessary to combine examination of clinical symptoms and paraclinical tests to help early detection and improve safety for patients after gynecological surgery.