日本の現状に即した新しい発想の肺塞栓症予防戦略 : 大阪大学の試み(<特集>第57回シンポジウム: 肺塞栓-その予防と治療-)

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A new preventive strategy for venous thromboembolism that suits the current state of Japan was planned and executed in Osaka University Hospital. The concept is not to give a too big meaning to the risk evaluation, but the preventive measures of the pulmonary embolism were taken at each of three stages separately, prevention of thrombogenesis, rapid diagnosis and treatment of thrombosis, and physical prevention at releasing stage of clot. In addition, screenings were done twice before and after operation (or bed rest) by physical findings and the lower-limb circumference measures from an educational point of view. There were 36 patients with deep venous thrombosis with 12 pulmonary thromboembolism identified during half a year, and the prevalence of venous thromboembolism was 0.3〜3.6% in each ward. The deep venous thrombosis had revealed to be existed before admission in no less than 31% of the patients who were diagnosed as with venous thrombosis when in hospital. Those with bringing-in thrombosis were classified to be low risk at admission when other major thrombotic risks were not present. Thus, the Osaka University Hospital guideline for prevention of venous thromboembolism that values preventive measures of the multistep floor to the same extent as preventive measures based on the risk evaluation is more effective and practical until the screening and diagnosis rate of the thrombosis improves in general by clinical education of 'Thombosis and Haemostasis' in Japan.
社団法人日本産科婦人科学会の論文
2005-09-01

日本の現状に即した新しい発想の肺塞栓症予防戦略 : 大阪大学の試み(<特集>第57回シンポジウム: 肺塞栓-その予防と治療-)

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