Dissertation > Excellent graduate degree dissertation topics show

Observation of the Clinical Effect of Lower Deep Venous Thrombosis with Non-surgical Therapy

Author: WuPeng
Tutor: WuXiaoPeng
School: Shandong University
Course: Surgery
Keywords: deep venous thrombosis of lower limb non-surgical therapy thrombolysis anticoagulation urokinase
CLC: R654.3
Type: Master's thesis
Year: 2008
Downloads: 220
Quote: 0
Read: Download Dissertation

Abstract


OBJECTIVE: Thrombolytic, anticoagulant and anti-PLT therapy are the classic non-surgical means to treat this disease. There are 42 cases with non-surgical therapy in the past half year in our department, and we have got good effect with the therapies. We discuss the clinical effect of our non-surgical therapies according to the changes of the patients’ clinical manifestations. And also we approach the causes, the selection of therapies and the prognosis of the DVT.METHODS: Analyze the individual conditions of the course of disease, clinical manifestations, complications and the Doppler ultrasound, and induct what therapies we had gave to the 42 patients. After a 10- day treatment, we assessment and evaluate the treat effect according to the changes of the patients’ clinical manifestations. We calculate the number and ratio of the patients with different effects, and then we analyz the data with SPSS 13.0.RESULTS: There are 11 cases whose courses are all in 3 days, and 3 patients of them get basically cured, 7 with excellent effect, 1 obviously improved. And there are 16 cases with the course between 3 to 10 days. 1 of them get basically cured, and 12 with excellent effect, 2 get improved. 16 cases whose courses are beyond 10 days also get 1 patient basically cured, with 7 get excellent effect and 1 get improved. By use of statistic analysis, we get the result that the therapeutic efficacy is concerned with the disease-course. In all 42 cases, the total cure rate is about 11.9%, the excellence rate is about 61.9% and the improvement rate is about 26.3%. The total effective rate is 100%.so we find that the total effective rate is perfectly high but the cure rate is very low. There is no PTE and no obviously hemorrhage happened to our 42 cases during the course of our treatment.CONCLUSION: There is a high effective rate but low cure rate when we use non-surgical therapy; the earlier patients get adapted therapy, the better they will recover with thrombolytic therapy; It is still effective when we give thrombolytic therapy to those who has missed the best period for thrombolysis; patients in chronic period can get some improvement when we give them anticoagulant and anti-PLT therapy.

Related Dissertations

  1. Perfusion CT original image identification infarction and ischemic penumbra center,R743.3
  2. Study of Different Modes of Catheter-directed Thrombolysis and Peripheral Intravenous Thrombolysis in Lower Extremity Deep Venous Thrombosis,R654.3
  3. Intracisternal Infusion of Rt-PA and Urokonase in the Prevention of DCVS after Subarachnoid Hemorrhage: a Preliminary Study,R743.3
  4. The Feasibility Study of the Thrombolysis Theraphy in CPR of the Acute Pulmonary Embolism,R563.5
  5. The Effect of Different Concentration of Urokinase on Stereotactic Aspiration of the Rabbit Intracerebral Hematoma and the Expression of the Heme Oxygenase-1,R743.34
  6. Effectiveness and Safety of Catheter-directed Thrombolysis Versus Anticoagulation for Iliofemoral Venous Thrombosis: a Systematic Review and Meta-analyses of Randomized Controlled Trials.,R654.4
  7. The Study of Deep Vein Thrombosis and Its Comlications in Forensic Identification,D919.1
  8. Enteric tied anorectal pain clinical study of postoperative analgesia,R269
  9. The Interventional Therapies for Acute Massive Pulmonary Embolism,R563.5
  10. An Animal Model of Acute Submassive Pulmonary Embolism: Its Establishment and Interventional Treatment with Local Thrombolysis,R-332
  11. Ischemic stroke thrombolysis time window angiography interventional treatment of patients with negative decisions and prognosis,R743.3
  12. A Clinical Research for Treatment of Lower Extremity Deep Venous Thrombosis with Large Urokinase,R543.6
  13. Prevention from Peridural Adhesion after Laminectomy by Combined Application of Fat Particle and Urokinase,R687.3
  14. Construction of Tissue Plasminogen Activator-annexin A5 Fusion Gene,R346
  15. Studies on the Thrombolytic Effect of Fibrinolytic Enzyme-rich Douchi Vacuum Freeze-dried Powder,TS264.2
  16. The Clinical Research of Prolonged Intravenous Thrombolysis in Patients with Progressive Vertebrobasilar Artery Occlusion,R743.32
  17. Effect of Edaravone Injection on the Expression of Mmp-9 in the Brains of Rats with Urokinase and Hemorrhagic Transformation,R743.3
  18. Experimental Study of the Effectiveness and Satety of the Combined Application of Auctbione and Heparin to Inferior Vena Cava Thrombus in Rabbits,R543
  19. The Study of Effect of Atorvastatin on Cerebral Edema after Intra-arterial Thrombolysis of Ischemic Stroke in Rabbits,R743.3
  20. Investigation of the Multiple Brain Protective Effects of Combined Edaravone and Minocycline on Cerebral Infarction,R743.3
  21. Clinical Analysis with Improved Scheme Versus Systemic Anticoagulation for Cerebral Venous and Sinus Thrombosis,R743

CLC: > Medicine, health > Surgery > Of surgery > Cardiovascular and lymphatic system surgery > Vascular
© 2012 www.DissertationTopic.Net  Mobile