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--> 00:02.595\n大家好，\n\n00:02.895 --> 00:05.844\n今天我跟大家来聊一聊，\n\n00:06.094 --> 00:13.345\n有来有关高龄卧床高危静脉血栓栓塞症防治中国专家共识。\n\n00:15.366 --> 00:17.666\n那首先我们要理清一个概念，\n\n00:17.965 --> 00:20.266\n什么是静脉血栓栓塞？\n\n00:21.160 --> 00:25.561\n那么它包括深静脉血栓、肺动脉栓塞。\n\n00:26.670 --> 00:27.020\n其中。\n\n00:27.827 --> 00:35.627\n我国80岁以上老年的心脉血栓栓塞发生率为每千人年6.8人。\n\n00:36.390 --> 00:38.691\n而80岁以上住院患者。\n\n00:39.699 --> 00:39.898\nBT,\n\n00:39.898 --> 00:45.348\n也就是静脉血栓栓塞症的发生率在欧洲达到11.8%。\n\n00:46.157 --> 00:49.056\n我国国内分为13.3%。\n\n00:50.082 --> 00:50.431\n因此，\n\n00:50.481 --> 00:56.782\n国内外高龄老年人BT的防治形势非常的严峻。\n\n00:59.283 --> 00:59.682\n下。\n\n01:02.532 --> 01:03.082\n血流淤滞，\n\n01:03.532 --> 01:04.431\n血液高凝，\n\n01:05.031 --> 01:05.982\n内体损伤。\n\n01:06.968 --> 01:10.267\n过长时间延长过长超过三天对吧。\n\n01:11.015 --> 01:13.015\n预竟发生风险显著增加，\n\n01:13.066 --> 01:17.216\n超过7天深静脉血栓可发生率达10%。\n\n01:18.212 --> 01:20.813\n超过两周得到32%。\n\n01:21.577 --> 01:22.027\n因此，\n\n01:22.277 --> 01:24.427\n长期卧床的患者，\n\n01:24.427 --> 01:28.027\n尤其是高原的患者必须高度重视。\n\n01:29.405 --> 01:33.405\n深静脉静脉血栓栓塞的预防和监测。\n\n01:34.861 --> 01:39.611\n高危的静脑血栓栓塞患者通常是指多种合并。\n\n01:40.677 --> 01:42.226\n我让大家搜复准备。\n\n01:43.419 --> 01:43.769\n包括。\n\n01:45.294 --> 01:45.919\n给我操。\n\n01:46.764 --> 01:48.864\n个人和家族有何关系？\n\n01:49.837 --> 01:51.288\n并存在有慢性病，\n\n01:51.487 --> 01:53.337\n并且有可能受过创伤。\n\n01:54.132 --> 01:57.832\n遗传性的血量倾影响抗原药物使用。\n\n01:58.723 --> 01:59.424\n活动减少。\n\n02:00.244 --> 02:04.143\n而80岁以上的患者常常伴有多种慢性疾病。\n\n02:04.904 --> 02:06.904\n投资这种脑中。\n\n02:08.751 --> 02:12.401\n生理和病理性的肝性功能减退导致了环境非常安全，\n\n02:12.651 --> 02:13.251\n造成。\n\n02:14.529 --> 02:17.878\n约占60%以上的GDP，\n\n02:17.878 --> 02:19.929\n尤其是西藏的GDP，\n\n02:20.128 --> 02:24.479\n发展为肺外双塞的风险显著增高。\n\n02:25.222 --> 02:26.522\n发生率达50%。\n\n02:27.276 --> 02:33.326\n而私下成功的手段及时处理也可能向上扩展。\n\n02:33.326 --> 02:34.876\n导致这个。\n\n02:36.473 --> 02:36.822\n因此，\n\n02:37.022 --> 02:37.897\n专家建议，\n\n02:37.897 --> 02:43.973\n80岁以上高龄患者应高度重视静脉损伤风险综合评估，\n\n02:44.373 --> 02:48.522\n并及时配备相对性监测的防治方案。\n\n02:50.604 --> 02:53.404\n那么它就包括以下几个方面。\n\n02:54.259 --> 02:58.009\n首先是肺动脉损伤的评估。\n\n02:58.845 --> 03:02.246\n分为早期风险评估、风险分析和初。\n\n03:04.391 --> 03:10.242\n进度包括患者健康状况、疾病背景、卧床时间等等。\n\n03:11.070 --> 03:14.570\n那么就可以采取个性化对自的防治策略，\n\n03:15.320 --> 03:19.470\n那么尤其是要预防长期卧床的患者。\n\n03:20.173 --> 03:23.022\n还有骨折或者是术后康复的话。\n\n03:24.382 --> 03:25.682\n那么采用相应的。\n\n03:26.507 --> 03:28.307\nPE和。\n\n03:30.945 --> 03:32.345\n那么其中可以看到。\n\n03:33.184 --> 03:34.835\n危险因素一分、两分，\n\n03:34.934 --> 03:37.884\n三分、五分分别都是为。\n\n03:38.822 --> 03:43.272\n那么其中零分指的是极度低分者1.2分。\n\n03:44.598 --> 03:46.048\n位三杠四。\n\n03:46.822 --> 03:48.723\n是中危险啊，\n\n03:48.723 --> 03:50.473\n高危风险大于等于。\n\n03:52.998 --> 03:56.998\n那么改良的开普风也不包括啊，\n\n03:56.998 --> 03:59.647\n还分为三四三个级别。\n\n04:00.636 --> 04:04.537\n那么简化为三个字应该是低位中位高位。\n\n04:05.550 --> 04:05.701\n那么，\n\n04:05.701 --> 04:08.350\n高危出血患者推荐机械预防。\n\n04:11.559 --> 04:17.510\n出来的灰高。\n\n04:19.675 --> 04:21.601\n那么出血风险评估呢，\n\n04:21.601 --> 04:25.276\n就包括准确的识别高出血性。\n\n04:26.585 --> 04:30.235\n同时要制定个性化这样的方案。\n\n04:32.346 --> 04:34.645\n那么为手术是大出血，\n\n04:34.996 --> 04:38.096\n我们就包标志着要进行一个出血分享。\n\n04:39.541 --> 04:43.916\n就包括一般危险但质量大数据，\n\n04:43.916 --> 04:46.041\n或者目前正的活动性。\n\n04:47.416 --> 04:47.967\n已知的，\n\n04:47.967 --> 04:49.066\n未经治疗的，\n\n04:49.066 --> 04:50.592\n可严重的。\n\n04:50.592 --> 04:52.016\n但是后把。\n\n04:53.079 --> 04:53.204\n对，\n\n04:53.204 --> 04:53.730\n老师说。\n\n04:54.500 --> 04:56.299\n什么未控制神经病，\n\n04:56.450 --> 04:57.250\n高血压，\n\n04:57.899 --> 04:58.700\n它都是。\n\n04:59.459 --> 05:01.509\n未来研发出什么风险？\n\n05:02.342 --> 05:05.242\n特定的问题包括在不手术。\n\n05:06.057 --> 05:06.907\n用阿司匹林，\n\n05:07.157 --> 05:09.006\n目前3天内使用氯吡格林。\n\n05:09.744 --> 05:11.295\n收入上去等等。\n\n05:13.582 --> 05:16.932\n那么另外还有一个因素就是评分，\n\n05:17.282 --> 05:22.631\n那么看下它分为风险因素得分一分一点五一直到4.5。\n\n05:23.471 --> 05:29.670\n那么例就是我写个活动性胃小小溃疡得分就非常的高。\n\n05:30.520 --> 05:33.420\n那么高危因素就是大于等于七种。\n\n05:35.528 --> 05:35.877\n另外，\n\n05:35.928 --> 05:37.328\n因此专家建议。\n\n05:38.048 --> 05:41.898\n预期卧床超过3天的所有高龄患者。\n\n05:42.558 --> 05:44.609\n头枕明显就是。\n\n05:46.940 --> 05:55.589\n那么应对所有的患者进行风险监测指导咨询态及方案不对。\n\n05:56.477 --> 05:56.811\n同时，\n\n05:56.811 --> 06:00.778\n也应进行连续动态损伤及系统风险评估，\n\n06:01.028 --> 06:04.828\n以指导对区防治方案相应调整。\n\n06:06.386 --> 06:08.036\n那么学系的诊断包括。\n\n06:08.868 --> 06:09.967\n调整的初步。\n\n06:11.003 --> 06:13.204\n练四的宣传形象。\n\n06:14.796 --> 06:20.471\n头诊诊医师、接诊患者没有进行特殊一致检查，\n\n06:20.471 --> 06:21.747\n但时间会短。\n\n06:22.582 --> 06:23.032\n情况下，\n\n06:23.032 --> 06:27.731\n结合病史、共病如何表示以及几个检查要进行的概率。\n\n06:29.825 --> 06:34.575\n转化为一个为了那对他的B什么是高冷敏感，\n\n06:35.024 --> 06:35.575\n所以。\n\n06:36.696 --> 06:38.196\n那么这边就不再赘述。\n\n06:39.195 --> 06:42.095\n那么它的一个对诊断简化的。\n\n06:42.825 --> 06:43.876\n就是为了平衡法，\n\n06:44.276 --> 06:46.075\n只有采用两个的。\n\n06:47.080 --> 06:49.180\n我实在是长大的第二题写的。\n\n06:50.304 --> 06:51.554\n就可出差。\n\n06:51.554 --> 06:53.105\n常用这个方法。\n\n06:55.119 --> 06:58.369\n那么敏感性可达到95%。\n\n06:59.044 --> 07:00.944\n配置为43%。\n\n07:01.954 --> 07:02.130\n那么，\n\n07:02.130 --> 07:04.380\n低概率的B期患者中，\n\n07:04.380 --> 07:07.704\n加速几因素具有显著的排除。\n\n07:08.777 --> 07:10.826\n函数率可达94%。\n\n07:12.666 --> 07:13.416\n那高龄方面，\n\n07:13.766 --> 07:18.816\n通常建议采用年龄少见的浓度作为诊断依据。\n\n07:19.950 --> 07:24.401\n推荐以年龄从10mcg十微克每称作为参考。\n\n07:25.761 --> 07:27.861\n而对于缺发率较高的患者，\n\n07:27.861 --> 07:31.161\n我们不能仅通过治疗T排除，\n\n07:31.161 --> 07:36.611\n一应结合超声检测等措施和重复检测排除，\n\n07:36.611 --> 07:38.861\n以进行一个动态的观察。\n\n07:40.096 --> 07:41.496\n那么影像学检查呢，\n\n07:41.496 --> 07:43.846\n就包括产生综合超声。\n\n07:44.718 --> 07:47.319\n它是CVT首选的方案。\n\n07:48.317 --> 07:53.467\n那么超声结果不明确的P总织静脉的CT造造影，\n\n07:53.667 --> 07:55.667\n或者是磁共振静脉抗，\n\n07:55.917 --> 07:59.317\n或者是过血血管抗可以。\n\n08:00.066 --> 08:01.316\n前的一个，\n\n08:01.765 --> 08:04.816\n那么肺动脉的CT成像CT。\n\n08:05.885 --> 08:08.834\n显示肺动脉有内的血栓。\n\n08:09.716 --> 08:12.265\n它具有高敏感性和良好的特征性。\n\n08:13.024 --> 08:16.774\n是诊断治愈口血的计算性检查方法。\n\n08:17.643 --> 08:19.842\n如果说CTP不能明确，\n\n08:20.243 --> 08:27.692\n那么磁共振的动脉造影和通气血流灌注扫描或经导管肺管造影均可。\n\n08:28.990 --> 08:33.190\n临床高度发育的患者要到七天之后就发生特。\n\n08:34.283 --> 08:35.883\n80岁以上的高危下，\n\n08:36.033 --> 08:39.234\n在考虑KTV和肺动脉造影时，\n\n08:39.283 --> 08:42.184\n要首先评估肾功能的状况，\n\n08:42.283 --> 08:43.883\n不做优先评。\n\n08:45.383 --> 08:48.633\n那么这是出金的规范的整个流程。\n\n08:49.406 --> 08:54.106\n包括像疑似分静脉损坏和疑似肺动脉栓塞。\n\n08:55.625 --> 09:02.200\nCT的预防和防治包括它抗明治的硫酸分类表等等。\n\n09:02.500 --> 09:05.500\n与恶性肿瘤的合并C出的。\n\n09:06.401 --> 09:08.426\n中心静脉导管相关损栓的环治。\n\n09:08.426 --> 09:10.351\n骨科大手术的病提出了。\n\n09:11.831 --> 09:15.632\n那预防的包括病倒病、运动和锻炼，\n\n09:15.932 --> 09:18.182\n机械性的预防和抗菌药物的预防，\n\n09:18.182 --> 09:21.281\n以医药与机械方式联合。\n\n09:23.713 --> 09:25.062\n常用的抗菌药物，\n\n09:25.362 --> 09:29.413\n那么在抗菌首先要进行一个出血风险的评估，\n\n09:29.763 --> 09:35.463\n同时考虑过鸣状态或者说对象最合适的入式治疗方案。\n\n09:36.481 --> 09:41.257\nCT的高风险的任合患者应优先考虑药物预防。\n\n09:41.706 --> 09:47.106\n建议高龄患者预防性的抗用治疗剂量采用标准治疗。\n\n09:47.820 --> 09:48.570\n两半的字。\n\n09:49.348 --> 09:50.697\n新型口服抗凝药，\n\n09:50.697 --> 09:52.297\n我们高规则，\n\n09:52.598 --> 09:55.797\n我不太适合长期注射药物。\n\n09:56.765 --> 09:58.265\n患者安全性高，\n\n09:58.565 --> 10:03.565\n但同时也应该根据中工人的状态制定合理的治疗方案。\n\n10:04.911 --> 10:05.460\n化于治疗，\n\n10:05.661 --> 10:10.861\n那么具体这个用法用量以及推荐这边有一个顺序。\n\n10:13.629 --> 10:15.278\n那么高龄卧床，\n\n10:15.278 --> 10:18.129\n但是没有高出血风险或者风险，\n\n10:18.129 --> 10:23.278\n它是可控高危时期来导致的一个。\n\n10:25.724 --> 10:25.900\n那么，\n\n10:25.900 --> 10:27.950\n我们一般也都是推荐，\n\n10:27.950 --> 10:33.525\n推荐是单素单独或者是联合口服的这种抗原素。\n\n10:34.471 --> 10:36.671\n视频靠您的作文启动问题。\n\n10:38.947 --> 10:41.747\n那么不存的这些保护法的。\n\n10:42.645 --> 10:44.645\n推荐并无优先级替换，\n\n10:44.695 --> 10:47.195\n但是它的用法用量各有不同。\n\n10:47.960 --> 10:50.611\n我们可以看到我常用那款沙发。\n\n10:51.564 --> 10:52.213\nIPA上的，\n\n10:52.314 --> 10:54.213\n然后再加主还是多钱的？\n\n10:55.528 --> 10:55.778\n什么？\n\n10:56.515 --> 10:59.465\n它里面每一天都是需要胃肠外的抗议，\n\n10:59.664 --> 11:03.114\n至少达到五天以上才能进行一个治疗。\n\n11:05.340 --> 11:08.690\n那么U我们就是这个也就不再赘述。\n\n11:09.684 --> 11:13.883\n那么这边我们在讲BP治老血的变通。\n\n11:14.697 --> 11:17.547\n可以看到新型口服抗凝药的治疗的地位，\n\n11:17.797 --> 11:20.197\n它其实一直在逐步的上升。\n\n11:21.406 --> 11:23.557\n那么评估的我们开发风险。\n\n11:24.343 --> 11:26.193\n再一个直径跨年疗程。\n\n11:27.296 --> 11:31.447\n那么它里面会提到一些长的可逆性的。\n\n11:32.591 --> 11:35.791\n轻微的可能性以及诱因持续存在。\n\n11:36.755 --> 11:39.505\n那么2019年ESC呢，\n\n11:39.505 --> 11:43.205\n它就解决了哪些患者可以服用。\n\n11:44.286 --> 11:45.137\n非常抗凝指标。\n\n11:45.875 --> 11:48.424\n就提到了一一次发和弦，\n\n11:48.525 --> 11:50.025\n也就是一过性的。\n\n11:51.643 --> 11:54.643\n而其他的患者应应该考虑。\n\n11:55.437 --> 11:56.888\n无限次的变化。\n\n11:58.164 --> 12:00.789\n那么如果说特别是像天静了，\n\n12:00.789 --> 12:01.664\n像那个。\n\n12:02.658 --> 12:02.857\n嗯，\n\n12:02.857 --> 12:04.408\n静脉口腔栓塞复发，\n\n12:04.557 --> 12:05.708\n合并H、S。\n\n12:08.133 --> 12:13.583\n那么决定静脉血栓栓塞抗凝的持续时间的一个特点。\n\n12:14.583 --> 12:15.559\n包括啊，\n\n12:15.559 --> 12:21.984\n不伴有肿瘤的患床治至少3个月才能治疗后，\n\n12:22.333 --> 12:24.533\n那么进行一个评估。\n\n12:25.312 --> 12:29.012\n合并肿瘤溃疡塞患者可考虑推荐。\n\n12:29.844 --> 12:32.294\n如果是肿瘤相关性的比较生状态，\n\n12:32.294 --> 12:35.094\n就应该考虑延长日种治。\n\n12:35.872 --> 12:37.122\n或者是无限。\n\n12:39.049 --> 12:44.598\n那么决定这个兄弟们三三靠您持续时间的一个策略，\n\n12:44.948 --> 12:46.698\n这边就不政策。\n\n12:47.937 --> 12:50.336\n抗菌药物的治疗流程疗程呢，\n\n12:50.536 --> 12:54.836\n非肿瘤患者一般推荐我好用化药大。\n\n12:55.953 --> 12:58.028\n肿瘤患者一般不使用。\n\n12:58.783 --> 13:01.133\n激本的肝素方式的抗凝治疗。\n\n13:02.450 --> 13:02.549\n那么，\n\n13:02.549 --> 13:03.349\n专家建议。\n\n13:04.164 --> 13:04.789\n好三个月，\n\n13:04.789 --> 13:06.263\n好的次了三个月。\n\n13:07.208 --> 13:08.807\n基于永久性的危险因素，\n\n13:08.908 --> 13:13.158\n如恶性肿瘤发出合并免压塞。\n\n13:13.981 --> 13:18.382\n在综合评估损伤和治疗风险后决定是否研发抗凝。\n\n13:18.382 --> 13:19.882\n五六个月或更。\n\n13:21.471 --> 13:22.421\n那溶栓治疗呢，\n\n13:22.520 --> 13:25.020\n主要包包括啥导管这些性？\n\n13:27.348 --> 13:31.448\n那么高龄的C机并不是非常性生素。\n\n13:32.706 --> 13:34.057\n那么他位品呢，\n\n13:34.356 --> 13:39.007\n它也不推荐常规摄入MC预防服务。\n\n13:39.905 --> 13:41.604\n那么有症状的这些患者呢，\n\n13:41.804 --> 13:44.679\n可以进行综合评估与风险之后，\n\n13:44.679 --> 13:47.905\n决定是否摄入我的ID c。\n\n13:49.648 --> 13:50.148\n压力去的。\n\n13:51.091 --> 13:52.991\n可以作为消除损伤形成的。\n\n13:53.833 --> 13:55.859\n后的综合征的一个出措施，\n\n13:55.859 --> 13:57.633\n但禁用于新发的。\n\n13:58.463 --> 13:58.614\n嗯，\n\n13:58.614 --> 14:00.263\n就是静脉方塞。\n\n14:01.086 --> 14:02.036\n通常的直径是。\n\n14:02.859 --> 14:07.010\n至少两周后综合评估是否使用压力。\n\n14:08.601 --> 14:11.551\n恶性肿瘤和病种放开的治疗。\n\n14:12.479 --> 14:16.028\n那么恶性肿瘤与对外血栓发生关系非常密切。\n\n14:17.086 --> 14:18.437\n推荐就很反复，\n\n14:19.086 --> 14:19.887\n恶性肿瘤。\n\n14:22.033 --> 14:25.533\n上山血和维持治疗什么？\n\n14:27.059 --> 14:31.460\n另外还有像下肢孤立性的远端的深静脉栓塞。\n\n14:32.513 --> 14:33.388\n他这个无症状，\n\n14:33.388 --> 14:34.963\n有无扩展啊，\n\n14:34.963 --> 14:35.864\n高龄患者。\n\n14:36.656 --> 14:38.380\n首先建议抗炎治疗，\n\n14:38.380 --> 14:40.656\n两周之后综合评估，\n\n14:40.656 --> 14:42.306\n制定下一步的治疗方案。\n\n14:43.005 --> 14:45.854\n如果说有血栓扩展高风险患者，\n\n14:45.955 --> 14:47.854\n我推荐进行抗泉治疗。\n\n14:48.846 --> 14:50.997\n症状性H、B的抗议，\n\n14:51.497 --> 14:52.997\n这种相同，\n\n14:53.247 --> 14:55.697\n建议进行3个月治疗，\n\n14:55.747 --> 14:56.646\n采用超声。\n\n14:57.359 --> 14:59.658\n进行连续动态评估。\n\n15:00.755 --> 15:05.380\n那么高龄患者留置中心静脉导管也是必具有危险区域，\n\n15:05.380 --> 15:09.604\n但是推荐常规的预防性的患者治疗。\n\n15:10.632 --> 15:10.932\n那么。\n\n15:11.729 --> 15:15.629\n一般这个就是他对于保有保管期间的话，\n\n15:15.629 --> 15:16.879\n有可能三个月，\n\n15:17.179 --> 15:19.629\n就是如果有明确的保管相关的事。\n\n15:20.478 --> 15:21.677\n我必须拔除前的话，\n\n15:21.728 --> 15:24.978\n要充分考虑三到时间拔除后还是继续考虑。\n\n15:25.958 --> 15:28.258\n骨科大手术合并B的话，\n\n15:28.408 --> 15:31.809\n那么也是会出相应的一个时间规定。\n\n15:33.098 --> 15:37.797\n这是2020年的管理管理者的会计证书。\n\n15:38.604 --> 15:40.578\n那么就是核心里面就讲了一句话，\n\n15:40.578 --> 15:44.004\n叫动态模式的进行一个监控。\n\n15:44.911 --> 15:46.211\n那么专家建议呢，\n\n15:46.211 --> 15:47.762\n在CP的防治期间，\n\n15:48.161 --> 15:50.887\n应该动态的监测相关的指标，\n\n15:50.887 --> 15:52.437\n定期的进行复查，\n\n15:52.437 --> 15:53.911\n调整治疗方案。\n\n15:54.867 --> 15:56.017\n最后有个总结，\n\n15:56.166 --> 16:00.067\n那么高龄患者也可注发现高危人群，\n\n16:00.216 --> 16:05.216\n我们应该进行个体化的形制动态监测相关的指标，\n\n16:05.216 --> 16:08.517\n根据患者具体情况选择合适的方案。\n\n16:09.320 --> 16:09.395\n好，\n\n16:09.395 --> 16:10.770\n我今天的分享就到这里，\n\n16:10.770 --> 16:11.270\n拜拜。\n\n","v0347cg10004d6025biljht5k9qmgql0",972,681,"2025-12-29 18:16:44"," 高龄卧床高危静脉血栓栓塞症防治指南 - 预防与护理措施  \n"," 高龄卧床,静脉血栓栓塞症,深静脉血栓,肺栓塞,血栓预防,卧床护理,抗凝治疗,血栓风险评估  \n"," 本文提供高龄卧床患者静脉血栓栓塞症(VTE)的防治指南，包括深静脉血栓和肺栓塞的风险评估、预防措施、护理方法及抗凝治疗方案，帮助降低长期卧床患者的血栓发生风险。","2026-02-02 17:07:55",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":27,"status":17,"createDept":6,"remark":25,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":42,"componentInfo":43},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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