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href=\"https:\/\/www.mdcalc.com\/calc\/362\/wells-criteria-dvt\" target=\"_blank\" rel=\"noopener\">DVT<\/a>\uff09\u306e\u8a3a\u65ad\u306f\u4e3b\u306b\u75c5\u6b74\u304a\u3088\u3073\u8eab\u4f53\u8a3a\u5bdf\u306b\u3088\u3063\u3066\u884c\u308f\u308c\u307e\u3059\u304c\u3001\u81e8\u5e8a\u691c\u67fb\u3082\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002\u4e3b\u306a\u8a3a\u65ad\u6cd5\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n<ul>\n<li class=\"text-align-justify\"><strong>\u81e8\u5e8a\u7684\u8a55\u4fa1<\/strong>\uff1a\u901a\u5e38\u3001\u81e8\u5e8a\u7684\u7279\u5fb4\u306b\u57fa\u3065\u304f\u691c\u67fb\u524d\u78ba\u7387\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u30b7\u30b9\u30c6\u30e0\u3067\u3042\u308bWells\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u7528\u3057\u307e\u3059[6]\u3002<\/li>\n<li class=\"text-align-justify\"><strong>D\u30c0\u30a4\u30de\u30fc\u8a66\u9a13<\/strong>\uff1aD\u30c0\u30a4\u30de\u30fc\u306f\u30d5\u30a3\u30d6\u30ea\u30f3\u95a2\u9023\u306e\u5206\u89e3\u7523\u7269\u3067\u3042\u308a\u3001\u901a\u5e38\u306fVTE\u3067\u4e0a\u6607\u3057\u307e\u3059\u3002\u4e00\u65b9\u3001\u611f\u67d3\u75c7\u3001\u60aa\u6027\u816b\u760d\u3001\u598a\u5a20\u3001\u624b\u8853\u3001\u5916\u50b7\u3001\u8133\u5352\u4e2d\u3067\u3082\u9ad8\u5024\u3068\u306a\u308a\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u3001D\u30c0\u30a4\u30de\u30fc\u691c\u67fb\u306e\u4fa1\u5024\u306f\u3001Wells\u30b9\u30b3\u30a2\u30ea\u30f3\u30b0\u30b7\u30b9\u30c6\u30e0\u3068\u7d44\u307f\u5408\u308f\u305b\u305f\u5834\u5408\u306bVTE\u306e\u5b58\u5728\u3092\u9664\u5916\u3067\u304d\u308b\u70b9\u306b\u3042\u308a\u307e\u3059[6]\u3002<\/li>\n<li class=\"text-align-justify\"><strong>\u8d85\u97f3\u6ce2<\/strong>\uff1aDVT\u3092\u540c\u5b9a\u3059\u308b\u305f\u3081\u306e\u4e3b\u8981\u306a\u691c\u67fb\u3067\u3059[1]\u3002<\/li>\n<li class=\"text-align-justify\"><strong>\u30b3\u30f3\u30d4\u30e5\u30fc\u30bf\u65ad\u5c64\u64ae\u5f71<\/strong>\uff1a\u811a\uff08DVT\uff09\u304a\u3088\u3073\u80ba\uff08PE\uff09\u306e\u8840\u6813\u3092\u7279\u5b9a\u3059\u308b\u305f\u3081\u3067\u3059[1]\u3002<\/li>\n<\/ul>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u5973\u6027\u5411\u3051VTE\u30ea\u30b9\u30af\u8a55\u4fa1\u30c4\u30fc\u30eb<\/h2>\n<p class=\"text-align-justify\">\u5973\u6027\u306eVTE\u30ea\u30b9\u30af\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u4f7f\u7528\u3067\u304d\u308b\u8cea\u554f\u7968\u5f62\u5f0f\u306e\u30c4\u30fc\u30eb\u306b\u306f\u69d8\u3005\u306a\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u5973\u6027\u306eVTE\u4e88\u9632<\/h2>\n<p class=\"text-align-justify\">\u598a\u5a20\u3057\u3066\u3044\u306a\u3044\u5973\u6027\u306eVTE\u306e\u4e88\u9632\uff08\u8840\u6813\u4e88\u9632\uff09\u306f\u3001\u7537\u6027\u306e\u6cbb\u7642\u3068\u540c\u69d8\u3067\u3059\u3002\u51fa\u8840\u30ea\u30b9\u30af\u306b\u5fdc\u3058\u3066\u3001\u9ad8\u30ea\u30b9\u30af\u624b\u8853\u3092\u53d7\u3051\u308b\u60a3\u8005\u306b\u306f\u4e88\u9632\u6295\u4e0e\u3092\u884c\u3044\u307e\u3059[6]\u3002<\/p>\n<p class=\"text-align-justify\">\u598a\u5a66\u306b\u5bfe\u3059\u308b\u4e88\u9632\u306b\u9078\u629e\u3059\u3079\u304d\u6297\u51dd\u56fa\u85ac\u306fLMWH\u3067\u3059\u3002\u4e88\u9632\u51e6\u7f6e\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u306f\u30ea\u30b9\u30af\u8a55\u4fa1\u30b9\u30b3\u30a2\u306b\u4f9d\u5b58\u3057\u307e\u3059\u3002\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u60a3\u8005\u306b\u306f\u598a\u5a20\u78ba\u5b9a\u5f8c\u306b\u4e88\u9632\u6295\u4e0e\u3092\u958b\u59cb\u3057\u3001\u30ea\u30b9\u30af\u304c\u4f4e\u3044\u60a3\u8005\u306b\u306f\u598a\u5a2028\u9031\uff08\u7b2c3\u30c8\u30ea\u30e1\u30b9\u30bf\u30fc\uff09\u304b\u3089\u4e88\u9632\u6295\u4e0e\u3092\u958b\u59cb\u3057\u307e\u3059[13]\u3002\u598a\u5a20\u4e2d\u306b\u4e88\u9632\u3092\u5fc5\u8981\u3068\u3059\u308b\u5973\u6027\u306f\u3001\u5c11\u306a\u304f\u3068\u3082\u5206\u5a29\u5f8c6\u9031\u9593\u3082\u4e88\u9632\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">\u5973\u6027\u306eVTE\u306e\u6cbb\u7642<\/h2>\n<p class=\"text-align-justify\">\u5973\u6027\u306eVTE\u306e\u6cbb\u7642\u306f\u3001\u598a\u5a20\u3092\u9664\u3044\u3066\u7537\u6027\u306e\u6cbb\u7642\u3068\u540c\u69d8\u3067\u3059\u3002\u6cbb\u7642\u306e\u4e2d\u5fc3\u306f\u3001\u30d8\u30d1\u30ea\u30f3\u3001\u4f4e\u5206\u5b50\u30d8\u30d1\u30ea\u30f3\uff08LMWH\uff09\u3001\u30d3\u30bf\u30df\u30f3K\u62ee\u6297\u85ac\u3001\u76f4\u63a5\u4f5c\u7528\u578b\u7d4c\u53e3\u6297\u51dd\u56fa\u85ac\uff08DOAC\uff09\u306a\u3069\u306e\u6297\u51dd\u56fa\u85ac\u306e\u4f7f\u7528\u3067\u3059\u3002\u3053\u306e\u3046\u3061LMWH\u304a\u3088\u3073DOAC\u306f\u3001\u51fa\u8840\u30ea\u30b9\u30af\u304c\u4f4e\u304f\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"text-align-justify\">\u598a\u5a20\u4e2d\u306eVTE\u306b\u5bfe\u3057\u3066\u306f\u3001LMWH\u304c\u7b2c1\u9078\u629e\u306e\u6297\u51dd\u56fa\u85ac\u3067\u3059\u3002\u6297\u51dd\u56fa\u85ac\u306f\u3001\u598a\u5a20\u671f\u9593\u4e2d\u304a\u3088\u3073\u7523\u5f8c6\u9031\u9593\u307e\u3067\u3001\u6700\u4f4e3\u30ab\u6708\u9593\u3001\u6cbb\u7642\u91cf\u3067\u6295\u4e0e\u3057\u307e\u3059\u3002\u6295\u4e0e\u671f\u9593\u4e2d\u306f\u3001\u6e1b\u91cf\u307e\u305f\u306f\u6295\u4e0e\u4e2d\u6b62\u306e\u524d\u306bVTE\u30ea\u30b9\u30af\u8a55\u4fa1\u3092\u518d\u5ea6\u884c\u3046\u3079\u304d\u3067\u3059[13]\u3002<\/p>\n<p class=\"text-align-justify\"><em>\u53c2\u7167\u6587\u732e\uff1a <\/em><\/p>\n<p><a href=\"https:\/\/www.nhlbi.nih.gov\/health\/venous-thromboembolism\" target=\"_blank\" rel=\"noopener\">\u00a0[1]<\/a> National Heart, Lung, and Blood Institute.What is venous thromboembolism.\u4ee5\u4e0b\u3088\u308a\u5165\u624b\u53ef\u80fd\uff1ahttps:\/\/www.nhlbi.nih.gov\/health\/venous-thromboembolism2022\u5e7410\u6708\u30a2\u30af\u30bb\u30b9\u3002<br \/>\n<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10654-021-00813-w\" target=\"_blank\" rel=\"noopener\">[2]<\/a> Arnesen CAL, Veres K, Horv\u00e1th-Puh\u00f3 E, Hansen JB, S\u00f8rensen HT, Br\u00e6kkan SK.Estimated lifetime risk of venous thromboembolism in men and women in a Danish nationwide cohort: impact of competing risk of death.Eur J Epidemiol.Feb 2022;37(2):195-203. doi:10.1007\/s10654-021-00813-w.<br \/>\n<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6055567\/\" target=\"_blank\" rel=\"noopener\">[3] <\/a>Scheres LJJ, Lijfering WM, Cannegieter SC.Current and future burden of venous thrombosis: Not simply predictable.Res Pract Thromb Haemost.Apr 2018;2(2):199-208. doi:10.1002\/rth2.12101.<br \/>\n[4] World Thrombosis Day.Open your eyes to venous thromboembolism (VTE).\u4ee5\u4e0b\u3067\u5165\u624b\u53ef\u80fd\uff1a https:\/\/www.worldthrombosisday.org\/issue\/vte\/#:~:text=Every%20year%2C%20there %20are%20\u7d04%2010%20million%20cases%20of%20VTE%20worldwide.2022\u5e7410\u6708\u30a2\u30af\u30bb\u30b9\u3002<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29212112\/\" target=\"_blank\" rel=\"noopener\">[5]<\/a> Lee LH, Gallus A, Jindal R, Wang C, Wu CC.Incidence of Venous Thromboembolism in Asian Populations: A Systematic Review.Thromb Haemost.Dec 2017;117(12):2243-2260. doi:10.1160\/th17-02-0134.<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29375274\/\" target=\"_blank\" rel=\"noopener\">[6]<\/a> Wang KL, Yap ES, Goto S, Zhang S, Siu CW, Chiang CE.The diagnosis and treatment of venous thromboembolism in asian patients.Thromb J.2018;16:4.doi:10.1186\/s12959-017-0155-z.<br \/>\n<a href=\"https:\/\/www.stoptheclot.org\/news\/may-is-womens-health-month\/\" target=\"_blank\" rel=\"noopener\">[7]<\/a> National Blood Clot Alliance.Women and blood clots risk timeline.\u4ee5\u4e0b\u3088\u308a\u5165\u624b\u53ef\u80fd\uff1ahttps:\/\/www.stoptheclot.org\/news\/may-is-womens-health-month\/2022\u5e7410\u6708\u30a2\u30af\u30bb\u30b9\u3002<br \/>\n<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8276646\/\" target=\"_blank\" rel=\"noopener\">[8]<\/a> de Oliveira A, Pasch\u00f4a AF, Marques MA.Venous thromboembolism in women: new challenges for an old disease.J Vasc Bras.Jul 6 2020;19:e20190148. doi:10.1590\/1677-5449.190148.<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22959548\/\" target=\"_blank\" rel=\"noopener\">[9]<\/a> Jacobsen AF, Sandset PM.Venous thromboembolism associated with pregnancy and hormonal therapy.Best Pract Res Clin Haematol.Sep 2012;25(3):319-32. doi:10.1016\/j.beha.2012.07.006.<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28382684\/\" target=\"_blank\" rel=\"noopener\">[10]<\/a> Sennstr\u00f6m M, Rova K, Hellgren M, et al.Thromboembolism and in vitro fertilization &#8211; a systematic review.Acta Obstet Gynecol Scand.Sep 2017;96(9):1045-1052. doi:10.1111\/aogs.13147.<br \/>\n<a href=\"https:\/\/www.nhs.uk\/conditions\/thrombophilia\/\" target=\"_blank\" rel=\"noopener\">[11]<\/a> National Health Services \uff08\u82f1\u56fd\uff09\u3002\u8840\u6813\u75c7\u4ee5\u4e0b\u3088\u308a\u5165\u624b\u53ef\u80fd\uff1ahttps:\/\/www.nhs.uk\/conditions\/thrombophilia\/\u30022022\u5e7410\u6708\u30a2\u30af\u30bb\u30b9\u3002<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28049361\/\" target=\"_blank\" rel=\"noopener\">[12]<\/a> Gialeraki A, Valsami S, Pittaras T, Panayiotakopoulos G, Politou M.Oral Contraceptives and HRT Risk of Thrombosis.Clin Appl Thromb Hemost.Mar 2018;24(2):217-225. doi:10.1177\/1076029616683802.<br \/>\n<a href=\"https:\/\/www.ams.edu.sg\/view-pdf.aspx?file=media%5C6016_fi_257.pdf&amp;ofile=CPS-COGS+VTE+Consensus+Statement+2021+0326.pdf\" target=\"_blank\" rel=\"noopener\">[13]<\/a> Academy of Medicine Singapore, College of Obstetricians &amp; Gynecologists Singapore, Chapter of Hematologists College of Physicians Singapore.\u598a\u5a20\u4e2d\u306e\u9759\u8108\u8840\u6813\u75c7 \u2013 \u4e88\u9632\u3001\u6cbb\u7642\u304a\u3088\u3073\u8abf\u67fb\u306e\u305f\u3081\u306e\u63a8\u5968\u30022021\u5e743\u6708\u3002 \u4ee5\u4e0b\u3088\u308a\u5165\u624b\u53ef\u80fd\uff1ahttps:\/\/www.ams.edu.sg\/view-pdf.aspx?file=media%5C6016_fi_257.pdf&amp;ofile=CPS-COGS+VTE+Consensus+Statement+2021+0326.pdf\u30022022\u5e7410\u6708\u30a2\u30af\u30bb\u30b9\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u9759\u8108\u8840\u6813\u585e\u6813\u75c7\uff08VTE\uff09\u306f\u3001\u9759\u8108\u5185\u306b\u751f\u3058\u308b\u8840\u6813\u3092\u6307\u3057\u307e\u3059[1]\u3002VTE\u306e\u6700\u3082\u983b\u5ea6\u306e\u9ad8\u3044\u81e8\u5e8a\u50cf\u306f\u3001\u6df1\u90e8\u9759\u8108\u8840\u6813\u75c7\uff08DVT\uff09\u3068\u80ba\u585e\u6813\u75c7\uff08PE\uff09\u306e2\u3064\u3067\u3059[1]\u3002DVT\u306f\u6df1\u90e8\u9759\u8108\u306b\u8840\u6813\u304c\u751f\u3058\u305f\u5834\u5408\u3067\u3042\u308a\u3001PE\u306f\u8840\u6813\u304c\u5265\u304c\u308c\u3066\u8840\u6d41\u3092\u4ecb\u3057\u3066\u79fb\u52d5\u3057\u3001\u80ba\u306b\u8a70\u307e\u3063\u305f\u5834\u5408\u306b\u767a\u751f\u3057\u307e\u3059[1]\u3002 VTE\u306f\u7537\u5973\u3092\u554f\u308f\u305a\u767a\u751f\u3057\u3001\u751f\u6daf\u306b\u308f\u305f\u3063\u3066\u8d77\u3053\u308a\u5f97\u307e\u3059[2]\u3002\u3057\u304b\u3057\u3001\u5973\u6027\u306eVTE\u306e\u63a8\u5b9a\u3055\u308c\u308b\u751f\u6daf\u30ea\u30b9\u30af\u306f\u3001\u7279\u306b\u598a\u5a20\u53ef\u80fd\u5e74\u9f62\u306b\u304a\u3044\u3066\u7537\u6027\u3088\u308a\u3082\u9ad8\u304f\u306a\u3063\u3066\u3044\u307e\u3059[2]\u3002 VTE\u306e\u767a\u73fe\u983b\u5ea6 \u4e00\u822c\u96c6\u56e3\u306b\u304a\u3051\u308bVTE\u306e\u4e16\u754c\u7684\u306a\u767a\u751f\u7387\u306f\u3001\u6bce\u5e741,000\u4eba\u5f53\u305f\u308a1\uff5e2\u4f8b\u3001\u5e74\u95933,000\u4e07\u4f8b\u307e\u305f\u306f1,000\u4e07\u4f8b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059[4]\u3002\u00a0\u3057\u304b\u3057\u3001\u7279\u306b\u5973\u6027\u306b\u304a\u3051\u308bVTE\u306e\u767a\u751f\u7387\u3092\u6c7a\u5b9a\u7684\u306b\u793a\u3059\u30c7\u30fc\u30bf\u306f\u307e\u3060\u4e0d\u8db3\u3057\u3066\u3044\u307e\u3059\u3002 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