鼻内镜术后并发下肢静脉血栓及肺栓塞的分析（附5例报告）

Lower extremity venous thrombosis and pulmonary embolism were analyzed after nasal endoscopy (5 cases)

摘要:

目的 探讨鼻内镜术后下肢静脉血栓（LEVT）及肺栓塞（PE）的发生情况，旨在提高耳鼻喉科医生对术后LEVT和PE的认识和诊断水平，总结治疗经验。方法 回顾性分析2020年1月－2021年7月该院耳鼻咽喉头颈外科5例鼻内镜术后并发LEVT及PE的患者的临床资料。结果 5例患者鼻内镜术后均出现LEVT和PE，经抗凝治疗后安全出院。结论 急性PE起病急，死亡率高，鼻内镜术后并发PE的发生率较低，以往没有得到耳鼻喉科医生的足够重视，通过分析病例和回顾文献，提高耳鼻喉科医生对鼻内镜术后患者血栓的预防和重视，降低血栓发生率，并及早进行干预，提高治愈率。

Abstract:

Objective To discuss the occurrence of lower extremity venous thrombosis (LEVT) and pulmonary embolism after nasal endoscopic surgery, improve the understanding and diagnosis level of postoperative venous thrombosis and pulmonary embolism (PE) in the lower limbs, and summarize the treatment experience.Method Clinical data of 5 patients combined with LEVT and PE from January 2020 to June 2021 were retrospectively analyzed.Result All the 5 patients presented with lower limb venous thrombosis and PE after nasal endoscopy, and were discharged safely after anticoagulant treatment.Conclusion PE was acute, high mortality rate, the incidence of concurrent PE after nasal endoscopy was low, through case analysis and literature review, to improve the otolaryngology doctors and thrombosis prevention and attention of patients after nasal endoscopic surgery, reduce the incidence of thrombosis, and early intervention, to improve the cure rate.