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العنوان
Deep venous thrombosis (d.v.t) :
المؤلف
Dawaly, Waleed Gamal Abd El-­Aziz.
هيئة الاعداد
باحث / وليد جمال عبدالعزيز على دوالى
مشرف / رمضان السيد الليثى
مشرف / حامد السيد حوريه
مشرف / ياسـر مصبـاح القـيران
الموضوع
Deep Venous Thrombosis. Epidemiologic Study. Thrombophlebitis - Etiology.
تاريخ النشر
2005.
عدد الصفحات
146 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
01/01/2005
مكان الإجازة
جامعة المنصورة - كلية الطب - Department of general surgery
الفهرس
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Abstract

Introduction: Deep venous thrombosis (DVT) is a major health problem as it accounts for high incidence of morbidity and mortality taking in consideration its major sequalae: pulmonary embolism and postphlebitic syndrome. Aim of work: The aim of our study is to evaluate the various epidemiological data of patients diagnosed with DVT who are admitted at the various departments of Mansoura University Hospitals taking them as a crude index of the epidemiology of DVT of the locality. Also, our aim will be recognize the possible risk factors contributing to the disease. Patients and methods: This study was conducted on all the patients suffering from or suspected to have an acute DVT, who are admitted in different departments of Mansoura University Hospitals especially vascular unit, internal medicine, Orthopaedic Surgery, General Surgery, Urosurgery, Neurosurgery, Neurology and Gynaecology & Obstetric Departments, also presented to us from outpatient clinics of Mansoura University Hospital. The data collected from various departments during 12 months from March 2003 until March 2004, we found 290 patients of symptomatic DVT out of 41428 patients admitted at this period in Mansoura University Hospitals representing (0.7%). Results: We found that, the overall incidence of DVT was 290 cases out of 41428 admitted patients (0.7%) with increased incidence with aging with insignificant difference in incidence between females or males except for higher incidence among young females and old male. Most of cases were presented to us by left more than right limb affection and proximal more than distal DVT. Conclusions: It identified various risk factors of DVT as smoking, immobilization, malignancy, trauma, pregnancy, severe illness e.g. myocardial infarction, cardiomyopathy, other diseases like Behcet<U+2019>s disease and scleroderma. In patients undergone surgery, we found that the incidence differ according to the type of surgery. DVT had great sequalae and complications in this study, as pulmonary embolism, venous gangrene reaching up to death.