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创伤骨科患者围术期下肢静脉血栓形成诊断及防治专家共识(2022年)
引用本文:周武,曹发奇,曾睿寅,姜保国,唐佩福,吴新宝,余斌,侯志勇,黎健,苏佳灿,刘国栋,禹宝庆,袁志,倪江东,陈雁西,傅德皓,童培建,王栋梁,张殿英,张鹏,张云飞,牛丰,杨雷,杨强,施忠民,周强,王俊文,王勇,何承建,车彪,赵猛,夏平,熊蠡茗,曹烈虎,陈晓,李卉,孙云,胡良聪,胡衍,刘梦非,米博斌,熊元,薛航,林泽,张英泽,胡豫,刘国辉. 创伤骨科患者围术期下肢静脉血栓形成诊断及防治专家共识(2022年)[J]. 中华创伤杂志, 2022, 0(1)
作者姓名:周武  曹发奇  曾睿寅  姜保国  唐佩福  吴新宝  余斌  侯志勇  黎健  苏佳灿  刘国栋  禹宝庆  袁志  倪江东  陈雁西  傅德皓  童培建  王栋梁  张殿英  张鹏  张云飞  牛丰  杨雷  杨强  施忠民  周强  王俊文  王勇  何承建  车彪  赵猛  夏平  熊蠡茗  曹烈虎  陈晓  李卉  孙云  胡良聪  胡衍  刘梦非  米博斌  熊元  薛航  林泽  张英泽  胡豫  刘国辉
作者单位:华中科技大学同济医学院附属协和医院;北京大学人民医院;中国人民解放军总医院;北京积水潭医院;南方医科大学南方医院;河北医科大学第三医院;国家卫健委北京老年医学研究所;海军军医大学第一附属医院;陆军军医大学大坪医院;复旦大学附属浦东医院;空军军医大学西京医院;中南大学湘雅二医院;复旦大学附属中山医院;上海交通大学附属第一人民医院;浙江省中医院;上海交通大学附属新华医院;山东省立医院;空军军医大学唐都医院;吉林大学白求恩第一医院;温州医科大学附属第二医院;天津市天津医院;上海交通大学附属第六人民医院;重庆医科大附属第三医院;武汉市第四医院;温州市中西医结合医院;湖北中医药大学附属医院;长江航运总医院;十堰市太和医院;武汉市第一医院
基金项目:国家重点研发计划(2018YFC2001500)。
摘    要:下肢深静脉血栓形成(DVT)是创伤骨科患者的主要并发症之一,严重DVT甚至会影响动脉供血,出现相应肢体供血不足。若发生血栓脱落可并发肺栓塞,病死率较高。临床上下肢骨折患者DVT的治疗和康复策略均有其特殊性。创伤骨科患者并发DVT已经引起广泛的关注与研究,预防和治疗DVT的最佳措施也在不断发展。近年来国内外陆续更新了一系列血栓防治指南,但临床上对于不同创伤骨折患者DVT的防治方式仍有不少疑惑。因此,笔者在总结国内外最新的循证医学证据和广大专家的临床经验基础上,针对创伤骨科患者DVT的临床诊疗和预防方案进行总结,就下肢DVT的诊断、评估、治疗及预防措施等方面制订本共识,为创伤骨科患者下肢DVT的处理提供一套适合我国国情且简便易行的方案,以期改善患者预后,提高其生活质量。

关 键 词:创伤骨科患者  并发肺栓塞  循证医学证据  下肢静脉血栓形成  血栓脱落  下肢骨折患者  供血不足  动脉供血

Expert consensus on diagnosis,prevention and treatment of perioperative lower extremity vein thrombosis in orthopedic trauma patients(2022 edition)
Zhou Wu,Cao Faqi,Zeng Ruiyin,Jiang Baoguo,Tang Peifu,Wu Xinbao,Yu Bin,Hou Zhiyong,Li Jian,Su Jiacan,Liu Guodong,Yu Baoqing,Yuan Zhi,Ni Jiangdong,Chen Yanxi,Fu Dehao,Tong Peijian,Wang Dongliang,Zhang Dianying,Zhang Peng,Zhang Yunfei,Niu Feng,Yang Lei,Yang Qiang,Shi Zhongmin,Zhou Qiang,Wang Junwen,Wang Yong,He Chengjian,Che Biao,Zhao Meng,Xia Ping,Xiong Liming,Cao Liehu,Chen Xiao,Li Hui,Sun Yun,Hu Liangcong,Hu Yan,Liu Mengfei,Mi Bobin,Xiong Yuan,Xue Hang,Lin Ze,Zhang Yingze,Hu Yu,Liu Guohui. Expert consensus on diagnosis,prevention and treatment of perioperative lower extremity vein thrombosis in orthopedic trauma patients(2022 edition)[J]. Chinese Journal of Traumatology, 2022, 0(1)
Authors:Zhou Wu  Cao Faqi  Zeng Ruiyin  Jiang Baoguo  Tang Peifu  Wu Xinbao  Yu Bin  Hou Zhiyong  Li Jian  Su Jiacan  Liu Guodong  Yu Baoqing  Yuan Zhi  Ni Jiangdong  Chen Yanxi  Fu Dehao  Tong Peijian  Wang Dongliang  Zhang Dianying  Zhang Peng  Zhang Yunfei  Niu Feng  Yang Lei  Yang Qiang  Shi Zhongmin  Zhou Qiang  Wang Junwen  Wang Yong  He Chengjian  Che Biao  Zhao Meng  Xia Ping  Xiong Liming  Cao Liehu  Chen Xiao  Li Hui  Sun Yun  Hu Liangcong  Hu Yan  Liu Mengfei  Mi Bobin  Xiong Yuan  Xue Hang  Lin Ze  Zhang Yingze  Hu Yu  Liu Guohui
Affiliation:(Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science and Technology,Wuhan 430022,China;People′s Hospital of Peking University,Beijing 100044,China;Chinese PLA General Hospital,Beijing 100853,China;Beijing Jishuitan Hospital,Beijing 100035,China;Nanfang Hospital,Nanfang Medical University,Guangzhou 510515,China;Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Beijing Institute of Geriatrics,Natronal Health Commission,Beijing 100730,China;First Affiliated Hospital of Naval Medical University,Shanghai 200433,China;Daping Hospital,Army Medical University,Chongqing 400042,China;Pudong Hospital Affiliated to Fudan University,Shanghai 201399,China;Xijing Hospital,Air Force Medical University,Xi′an 710032,China;Second Xiangya Hospital of Central South University,Changsha 410011,China;Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;First People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200080,China;Zhejiang Provincial Hospital of Chinese Medicine,Hangzhou 310003,China;Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Shandong Provincial Hospital,Jinan 250021,China;Tangdu Hospital Affiliated to Air Force Military Medical University,Xi′an 710038,China;First Hospital of Bethune Affiliated to Jilin University,Changchun 130021,China;Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,China;Tianjin Hospital,Tianjin 300211,China;Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China;Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China;Wuhan Fourth Hospital,Wuhan 430030,China;Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou 325003,China;Affiliated Hospital of Hubei University of Chinese Medicine,Wuhan 430060,China;Changjiang Shipping General Hospital,Wuhan 430019,China;Shiyan Taihe Hospital,Shiyan 442099,China;Wuhan NO.1 Hospital,Wuhan 430022,China)
Abstract:
Keywords:Venous thrombosis  Lower extremity  Consensus
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