Zusammenfassung
Eine tiefe Venenthrombose (TVT) ist eine typische Komplikation von hospitalisierten Patienten. Einige venöse Thrombosen bleiben subklinisch, andere jedoch imponieren durch eine symptomatische tiefe Beinvenenthrombose oder durch eine Lungenembolie (LE). Durch ihre hohe Inzidenz sind die TVT und die LE wichtige Ursachen für die Letalität und Morbidität während eines Krankenhausaufenthaltes. Das Risiko, eine Thromboembolie (TE) zu erleiden, wird durch dispositionelle und expositionelle Risikofaktoren erhöht. Entsprechend der Disposition wird eine risikoadaptierte Thromboembolieprophylaxe durchgeführt. Für die Thromboembolieprophylaxe stehen sowohl medikamentöse als auch physikalische Optionen zur Verfügung.
Abstract
Venous thromboembolism is a common and frequent complication of hospitalized patients. Some venous thromboembolisms may be subclinical, while others present as symptomatic deep vein thrombosis and/or pulmonary embolism. Venous thromboembolism and pulmonary embolism contribute significantly to inhospital morbidity and mortality. The risk of venous thromboembolism is aggravated by dispositional and/or expositional risk factors. In patients at intermediate or high risk of venous thromboembolism, additional pharmacological thromboembolism prophylaxis becomes mandatory.
Notes
Diagnostik und Score-System zur Wahrscheinlichkeit des Vorhandenseins einer TVT nach Wells : s. http://awmf.org Leitlinien der Deutschen Gesellschaft für Phlebologie.
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Dohmen, B., Gogarten, W., Kuhlen, R. et al. Venöse Thromboembolieprophylaxe. Anaesthesist 53, 657–674 (2004). https://doi.org/10.1007/s00101-004-0696-y
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DOI: https://doi.org/10.1007/s00101-004-0696-y
Schlüsselwörter
- Venöse Thromboembolie
- Lungenembolie
- Dispositionelle Risikofaktoren
- Expositionelle Risikofaktoren
- Risikoadaptierte Thromboembolieprophylaxe