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髋部损伤术后下肢深静脉血栓形成的高危因素分析
引用本文:沈素红,陈柯,张江涛.髋部损伤术后下肢深静脉血栓形成的高危因素分析[J].中医正骨,2004,16(1):7-8.
作者姓名:沈素红  陈柯  张江涛
作者单位:河南省洛阳正骨医院正骨研究所,471002
摘    要:为探讨髋部损伤术后下肢深静脉血栓(Deep-vein thrombosis DVT)形成的高危因素及预防措施,对42例髋部损伤术后并发下肢DVT的患者行彩色多普勒超声血流显像(CDFI)检查,记录血栓情况并分析高龄、心脑血管病、糖尿病与下肢DVT形成的关系.本组合并心脑血管病及糖尿病者共22例(占52%),与同期未发生DVT的髋部损伤患者对比有非常显著性差异(P<0.01).本组患者60岁以上者有30人,与同期未发生DVT的髋部损伤患者对比有显著性差异(P<0.05).结果表明高龄、心脑血管病及糖尿病是髋部损伤术后并发下肢DVT的高危因素.认为对围手术期存在高危因素的患者,有必要预防性应用抗凝药物,以减少术后下肢DVT的发病率.

关 键 词:髋部损伤/并发症  下肢深静脉血栓/影像诊断  彩色多普勒超声  临床研究
文章编号:1001-6015(2004)01-0007-02
修稿时间:2003年5月5日

AN ANALYSIS ON THE HIGH RISK FACTORS OF LOWER-LIMB DEEP-VEIN THROMBOSIS IN HIP INJURY AFTER SURGICAL TREATMENT
Shen Suhong,Chen Ke,and Zhang Jiangtao Luoyang Orthopedic-Traumatological Hospital and Institute of Henan Province,Luoyang.AN ANALYSIS ON THE HIGH RISK FACTORS OF LOWER-LIMB DEEP-VEIN THROMBOSIS IN HIP INJURY AFTER SURGICAL TREATMENT[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2004,16(1):7-8.
Authors:Shen Suhong  Chen Ke  and Zhang Jiangtao Luoyang Orthopedic-Traumatological Hospital and Institute of Henan Province  Luoyang
Institution:Shen Suhong,Chen Ke,and Zhang Jiangtao Luoyang Orthopedic-Traumatological Hospital and Institute of Henan Province,Luoyang 471002
Abstract:The objective of the paper is to explore the high risk factors and preventive measures of postoperative lower-limb deep-vein thrombosis (DVT) in hip injury. Forty-two cases of hip injury complicated with postoperative lower-limb DVT were examined with color Doppler flow images (CDFI), the thromboses of them were recorded, and the relationship between lower-limb DVT and senility, angiocardiopathy, cerebrovascular disease and diabetes mellitus was analyzed. In this series, 22 cases (52 %) were complicated with angiocardiopathy, cerebrovascular disease and diabetes mellitus and 30 cases aged over 60 years with a significant difference (P < 0.01 and P < 0.05) compared with the cases with no DVT at the same period. The results showed that senility, angiocardiopathy, cerebrovascular disease and diabetes mellitus should be regarded as the high risk factors resulting in postoperative lower-limb DVT associated with hip injury. It was believed that it is necessary to give the cases with the high risk factors anticoagulative drugs peri-operatively as to decrease the incidence of postoperative lower-limb DVT.
Keywords:hip injury/complications  lower-limb deep-vein thrombosis/image diagnosis  color Doppler ultrasonic examination  clinical study
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