创伤后下肢深静脉血栓形成的治疗探讨

目的探讨外伤或手术后创伤性下肢深静脉血栓形成的治疗效果显著的方法。方法设通常所用的静脉滴注低分子右旋糖酐加丹参注射液和蝮蛇抗栓酶治疗４０例为对照组；设通常所用方法加自制中药溶栓液口服治疗６０例为治疗组，行两组治疗对比。结果治疗组治愈率７０％，总有效率９８３３％；对照组治愈率４５％，总有效率８７５％，两者显著差异（Ｐ＜００５）。血液流变学和甲皱微循环检测显示，治疗组能有效地改善血液流变学指标，降低血液粘滞性和聚集性，与对照组相比有非常显著性差异（Ｐ＜００１）。结论治疗组方法具有良好的活血祛瘀、消栓通脉、利湿消肿、扶正祛邪之功效，无副作用，是治疗创伤后下肢深静脉血栓形成的良好方法。

Treatment of Post traumatic Thrombosis in Deep Vein of Lower Limb

Objective To approach the remarkably effective method for treating thrombosis in deep vein of lower limb after trauma or operation.Method Forty cases of control group were treated with commonly used intravenous drip of low molecular dextran,added Salviae Miltiorrhizae injection and Agkistrodon halys anti thrombotic enzyme.Sixty cases of treating group were treated with the commonly used method plus oral administration of thrombolytic liquid,self prepared from Chinese drugs.Result The cure rate of the treating group was 70%,and the total effective rate 98 33%;the cure rate of the control group was 45%,and the total effective rate 87 5%.There was significant difference between these two groups( P <0 05).From the changes of hemorheological indexes and nail fold microcirculation,it was found that the decrease in viscosity and aggregation of blood in treating group was more obvious as compared with that in control group ( P <0 01).Conclusion The therapeutic method used in treating group is a good one for treating post traumatic thrombosis in deep vein of lower limb.