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Fırat Tıp Dergisi
2008, Cilt 13, Sayı 1, Sayfa(lar) 035-038
[ Turkish ] [ Tam Metin ] [ PDF ]
Medical Treatment of Lower Extremity Deep Vein Thrombosis: Retrospective Study
Ayhan UYSAL1, Kadir Kaan ÖZSİN2, Rafet TOK2, Suna AYDIN2, Oktay BURMA3, Ali RAHMAN2
1Özel İstanbul Çamlıca Ömür Hastanesi, Kalp Damar Cerrahisi Kliniği, İSTANBUL
2Fırat Üniversitesi, Tıp Fakültesi Kalp Damar Cerrahisi Anabilim Dalı, ELAZIĞ
3Gaziantep Üniversitesi, Tıp Fakültesi, Kalp Damar Cerrahisi Anabilim Dalı, GAZİANTEP

Objective: Deep vein thrombosis (DVT) is an important cause of morbidity and mortality worldwide unless treated on time. This retrospective study aimed to share our experience with our collegues regarding lower extremity DVT treatments in our hospital.

Materials and Methods: Between the years 2002-2006, 212 patients applied at our hospital as suffering from pain and swallow. Clinical signs and symptoms of DVT were classified according to the Wells scoreing. If well scoreing higher than 2, then patients got on doppler ultrasonography and thrombosis diagnosed patients were hospitalized.

Results: It was found that Wells score of all patients was above 2 and DVT was observed in 173 patients (81.6 %). 88 patients (50.9%) were females and of the 85 patients (49.1%) were males, and avarage age 48. It was also found that there was no risk factors for DVT in the 36 (20.8%) patients while diagnosed the most common risk factors for DVT were cause of obstetric (28 patients; 16.2%) and immobilization (28 patients; 16.2%). Standart heparin infusion was administered to 88 subjects (50.9%) while the remaining subjects (79) (45.7%) had a low molecular weight heparin twice a day. Six patients (3.4%) with massive iliac thrombosis got a thrombolytic therapy. Pulmonary embolus was developed in the 4 patients (2.3%) and two of them died due to massive pulmonary emboli (1.1%).

Conclusion: These data indicate that it is necessary early suitable treatment of DVT to prevent its complications after a definitive detection of DVT with a doppler ultrasonography. ©2008, Firat University, Medical Faculty

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