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INTRODUCTION
Venous thromboembolism (VT) is a common clinical vascular
disease, only after acute myocardial infarction and stroke. Clinically,
VT presents two forms: deep vein thrombosis (DVT) and pulmonary
embolism (PE). Clinical symptoms of PE are usually atypical, may
be asymptomatic due to other obscure diseases, easily confused with
other special diseases in patients receiving emergency - intensive
care internal medicine (ICU).
Patients in ICU have many risk factors for VT, pre-admission
risks such as immobility, infections, cancer, advanced age, heart
failure, respiratory failure and a history of ICU. There are risks when
entering the department such as lying motionless, mechanical
ventilation, sedatives, central venous catheters, hemodialysis,
infections, and vasopressors. Diagnosis and treatment of VT in ICU
patients is very difficult so diagnosis is late and easy to miss. Even
when diagnosed, there is no chance of treatment or difficulty because
of serious illness, multiple organ failure, hemostatic disorders and
unpredictability. Fortunately, VT is preventable, but currently the
prophylaxis of VT in ICU patients has not been given adequate
attention, is not consistent, and the prevention rate is not high. So far,
there have been many studies on DVT in the world and in Vietnam,
but research on DVT in emergency resuscitation patients is still
limited. On that basis, this research project is conducted with 2
objectives:
1- Understanding some risk factors for lower extremity DVT in
the first time in patients treated at the intensive care unit of the Bach
Mai hospital and the Friendship hospital.
2- Review the results of lower extremity DVT prevention by low
molecular weight heparin (Enoxaparin) in the above patient groups.
URGENCY OF THE SUBJECT
DVT is a common condition, with atypical symptoms, which
makes it difficult to diagnose, treat complexities and dangerous
complications but this disease can be prevented. In the world and in
