セキネ　ヤスオ   SEKINE YASUO   関根　康雄    所属   医学部 医学科（附属八千代医療センター）    職種   客員教授
論文種別	その他
言語種別	日本語
査読の有無	査読あり
招待の有無	招待あり
表題	[Thoracic surgery for patients with deep vein thrombosis].
掲載誌名	正式名：Kyobu geka. The Japanese journal of thoracic surgery 略　 称：Kyobu Geka ISSNコード：(0021-5252)0021-5252(Linking)
巻・号・頁	65(8),697-700頁
著者・共著者	Sekine Y, Koh E
発行年月	2012/07
概要	Deep vein thrombosis (DVT) is a main cause of pulmonary thromboembolism (PTE), and therefore both diseases are categorized as a serial pathophysiology of venous thromboembolism (VTE). Treatment goals for DVT include stopping clot propagation and preventing the recurrence of thrombus, the occurrence of PTE, and the development of pulmonary hypertension, which can be a complication of multiple recurrent pulmonary emboli. Clinical guidelines stratify the risk of VTE to 4 levels and recommend the treatment options. In high or extremely high risk patients for VTE, the use of low-dose heparin is recommended. The prevention against VTE, such as elastic compression stockings and intermittent sequential pneumatic leg compression( ISPC), is the most important prophylactic treatment against perioperative PTE by reducing thrombotic risk in low or moderate high risk patients for VET. Since there is no clear evidence that screening all or even selected patients for thrombophilias improves long-term outcomes, the physician's clinical judgment, and consultation with appropriate subspecialists should guide management perioperatively. Once PTE is suspected, immediate and accurate diagnosis and appropriate treatment are mandatory.
PMID	22868431