下肢闭合骨折术前并发深静脉血栓形成的临床分析

目的:探讨下肢闭合骨折术前并发深静脉血栓(deep venous thrombosis of the extremity,DVT)形成的情况。方法:回顾性分析2008年3月至2009年2月54例(男23例,女31例;年龄23～95岁)下肢闭合骨折术前经彩色多普勒超声(CDFI)确诊并发DVT患者的临床资料,分析下肢骨折并发DVT的危险因素。结果:下肢DVT包括髂外静脉血栓、股静脉血栓、腘静脉血栓、胫后静脉血栓、比目鱼肌静脉血栓。下肢骨折术前并发DVT形成情况:①患者年龄70岁以上23例;②骨折合并其他病症11例,其中合并高血压2例,合并高血压和糖尿病3例,合并高血压和脑梗死2例,合并高血压、糖尿病和冠心病4例;③多发骨折10例;④下肢骨折后7～14d发生DVT28例。结论:DVT发生的危险因素包括:高龄,术前合并高血压、糖尿病、冠心病和脑梗死等疾病,下肢多发多段骨折。DVT多发生在下肢骨折后7～14d,尽早安排手术治疗比其他预防DVT措施在降低围术期肺栓塞风险中更有重要意义。

Clinical analysis of preoperative deep venous thrombosis(DVT) complicated lower extremity close fractures

Objective:To study the instance of deep venous thrombosis(DVT) complicated by preoperative lower extremity close fracture.Methods:Retrospectively analyzed the clinical data of 54 patients with DVT(through color Doppler to final diagnosis) complicated by preoperative lower extremity close fracture from March 2008 to February 2009,and explored the concomitant reason of DVT.There were 23 males and 31 females with age for 23-95 years old.Results:DVT including thrombus of ilio venae external,thrombus of femoral ...