Respublikinėje Šiaulių ligoninėje gydytų pacientų, sirgusių giliųjų kojų venų tromboze, klinikinių duomenų analizė
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AbstractThe aim of this study: to analyze clinical data of treated patients with lower extremity deep venous thrombosis in the Republican Šiauliai county hospital. Tasks: 1. To compare the incidence of morbidity of lower extremity deep venous thrombosis between age and gender. 2. To evaluate the incidence of clinical symptoms and signs. 3. To evaluate the prevalence of risk factors and comorbidities. 4. To establish the association between number of risk factors and results of laboratory tests (C-reactive protein, d-dimer). 5. To evaluate findings of ultrasonography of the lower extremities and establish the association between d-dimer. Methods: retrospective analysis was carried out from medical records of patients with lower extremity deep vein thrombosis who were treated 2011-2015 in the Republican Šiauliai county hospital. Data was collected from complaints, anamnesis, physical examination, laboratory tests (C-reactive protein, d–dimer) and ultrasonography findings. Results: 94 patients were included in the study. The mean age was 62,95±15,91 years. There was no significant difference in the age between males and females (p>0,05). 3% of all patients didn‘t have risk factors. The most frequent risk factor was older age (≥40 years). Half of cancer patients have genitourinary system malignancy. D-dimer test was performed for 93,6% patients and for all it was increased. C-reactive protein was performed for 94,7% patients and for 69,4% was increased. The DVT location significantly was related to gender and age (p<0,05). Conclusions: The majority of patients were male. More than half of patients belonged to 60 – 79 years old group. The most common symptom and sign was edema. Also a lot of patients had pain. Older age (≥40 years), malignancy, heart failure and history of venous thromboembolism were the most common identified risk factors. Cardiovascular system diseases were the main of all comorbidities. There was no significant difference between number of risk factors and results of laboratory tests (p>0,05). Left lower limb thrombosis was the most frequent, when bilateral thrombosis was diagnosed to the smallest group of patients. According to DVT location d–dimer levels weren‘t significantly (p>0,05).