髋部骨折术后并发下肢深静脉血栓形成诊治初探

目的：探讨髋部骨折术后并发下肢深静脉血栓形成的诊断及治疗。方法：观察临床症状及体征,以肿胀作为重要诊断依据,并用彩超SMHz和10MHz探头交替使用,提高诊断正确率,使用蝮蛇抗栓酶、低分子右旋糖酐、复方丹参、尿激酶和东菱克栓酶治疗。结果：通过彩超诊断DVT正确率较高,本组治愈15例,好转3例．无效2例,无死亡病例。结论：髋部骨折术后并发下肢深静脉血栓形成并非少见,诊断主要依赖于彩色超声波及临床症状体征。东菱克栓酶治疗DVT效果较好,对高危人群应预防应用抗血小板凝集药物。

PRIMARY INVESTIGATION OF TREATMENT OF THROMBOSIS IN LOWER LIMBS AFTER OPERATION FOR HIP FRACTURE

To recommend the diagnosis and treatment of thrombosis in Lower Limbs afteroperation for hip fracture. Methods: The observation of welling is the important bosis for diagnois in clinic. Chlour ultraric probe with 5 MHz and 10 MHz were used alteruatively to improve precision rate.Ahylysantinfaractase, simple dextran, radix salviae miltiorrhizae, uroklnase and batroxbin were used inthe trearment. Result: Ultrasonic diagnosis has a higher precision rate in DVT. In this group 15 werecured, 3 improved and 2 ineffective. There was no death. Conclusion: DVT in lower limbs after operation for hip fracture is not a rare disease. Diagnosis depends prirnarily on colour ultrasonic test and clinicalsigns. Batroxbin has a excellent effect in the treatment of DVT. In the high risk patients, antiagglutination of platelet medication should be applied preventatively.