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利伐沙班对合并糖尿病的老年股骨粗隆间骨折术后下肢深静脉血栓形成的预防
引用本文:翟志海,张昆,高月彩,杨明.利伐沙班对合并糖尿病的老年股骨粗隆间骨折术后下肢深静脉血栓形成的预防[J].创伤外科杂志,2011,13(6):564-566.
作者姓名:翟志海  张昆  高月彩  杨明
作者单位:1. 邢台医学高等专科学校第二附属医院急诊创伤骨科,河北,054000
2. 邢台市第五医院麻醉科,河北,054000
摘    要:股骨粗隆间骨折是创伤骨科常见髋部骨折类型.合并糖尿病的老年股骨粗隆间骨折患者在围手术期需要一定时期的卧床制动,由于合并基础疾病往往具有较高的下肢深静脉血栓(deep vein thrombosis,DVT)形成的风险性,而DVT又是此类患者围手术期致残率、致死率较高的并发症之一,严重者可继发致死性肺动脉血栓栓塞症 (P...

关 键 词:股骨粗隆间骨折  利伐沙班  静脉血栓  糖尿病

Effect of Rivaroxaban in preventing deep vein thrombosis in aged patients with femoral intertrochanteric fracture combining with diabetes mellitus after operation
Institution:ZHAI Zhi-hai,ZHANG Kun,GAO Yue-cai,et al. (Department of Trauma Surgery,Second Affiliated Hospital,Xingtai Medical College,Xingtai 054000,China)
Abstract:Femoral intertrochanteric fracture is a common type of hip fracture in clinical trauma surgery.Elderly femoral intertrochanteric fracture patients combined with diabetes mellitus usually require a period to keep lying in bed for forbiding activity in the perioperative period.This condition leads to high risk of deep vein thrombosis,which is a complication with high disability and high mortality rate.More seriously,the deep vein thrombosis can be secondary to the pulmonary thromboembolism(PTE).Rivaroxaban gradually becomes the new oral intake of anticoagulant for the aged diabetes mellitus patients after the orthopaedics operation because of many advantages such as convenient application,no requirement of determining coagulation function,lower interaction with others medicines and food,and reliable anticoagulation.
Keywords:femoral intertrochanteric fracture  Rivaroxaban  vein thrombosis  diabetes mellitus
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