摘要
克罗恩病和胃肠型结肠炎属于炎性肠病(IBD)。IBD的特点为一种慢性炎症过程和掩藏免疫异常,伴随着目前可得到的治疗策略,患静脉血栓栓塞(VTE)风险的增加。IBD病人中最常见的VTE是深静脉血栓(DVT)和肺栓塞(PE)。归因于其较高的死亡率,这些并发症在临床实践中尤为重要。因此,新的IBD病例的早期诊断和炎性过程的控制被认为在减少血栓形成风险中起关键作用。尽管有一些支持IBD和VTE相关的证据,但是对病人的危险性后果仍然缺乏认知。本文中作者报道了IBD病人的3个VTE病理,讨论了在MEDLINE、Cochrane Library 和 EMBASE数据库中针对其预防和控制的相关临床研究。
关键词: 抗凝血剂,炎性肠病,低分子量肝素,血栓栓塞的预防,静脉血栓栓塞
Current Drug Targets
Title:Prevention and Therapeutic Strategies of Thromboembolic Events in Patients with Inflammatory Bowel Diseases: A Report of Three Cases
Volume: 16 Issue: 3
Author(s): Marcin Wlodarczyk, Aleksandra Sobolewska, Jakub Fichna and Maria Wisniewska-Jarosinska
Affiliation:
关键词: 抗凝血剂,炎性肠病,低分子量肝素,血栓栓塞的预防,静脉血栓栓塞
摘要: Crohn’s disease and ulcerative colitis belong to a group of inflammatory bowel diseases (IBD). IBD are characterized by a chronic character of inflammatory process and overlapping immunological abnormalities, which, along with therapeutic strategies are currently available, underlie an increased risk of venous thromboembolic events (VTE). The most common sites of VTE in IBD patients are deep venous thrombosis (DVT) and pulmonary embolism (PE). These complications are particularly important in clinical practice due to a very high mortality rate. Therefore, an early diagnosis of new IBD cases and the control of inflammatory process are thought to play a crucial role in risk reduction for thromboembolic events. Despite considerable evidence supporting the association between IBD and VTE, there is still a lack of recognition of this risk, with dangerous consequences for patients. In this paper authors report three cases of VTE in IBD patients and discuss the most relevant clinical studies found in MEDLINE, Cochrane Library and EMBASE regarding its prevention and management.
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Marcin Wlodarczyk, Aleksandra Sobolewska, Jakub Fichna and Maria Wisniewska-Jarosinska , Prevention and Therapeutic Strategies of Thromboembolic Events in Patients with Inflammatory Bowel Diseases: A Report of Three Cases, Current Drug Targets 2015; 16 (3) . https://dx.doi.org/10.2174/1389450115666141109213152
DOI https://dx.doi.org/10.2174/1389450115666141109213152 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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