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下肢手术后有症状的下肢深静脉血栓形成
引用本文:袁加斌,刘仲前,庞健,张耀明,尹立雪.下肢手术后有症状的下肢深静脉血栓形成[J].实用医院临床杂志,2001(1).
作者姓名:袁加斌  刘仲前  庞健  张耀明  尹立雪
作者单位:四川省人民医院骨科,四川省人民医院骨科,四川省人民医院骨科,四川省人民医院骨科,四川省人民医院物理诊断科 成都 610071,成都 610071,成都 610071,成都 610071,成都 610071
摘    要:目的:探讨下肢手术后有症状的下肢深静脉血栓形成的临床特点、早期诊断方法和预防措施。方法:对5例下肢手术后发生有症状的下肢深静脉血栓形成患者的临床表现和彩色多普勒结果进行分析。结果:下肢手术后小腿出现疼痛是下肢深静脉血栓形成最早出现并具有很高诊断价值的临床特点。手术后肢体加压包扎是促进下肢深静脉血栓形成的可能因素。结论:下肢手术后出现小腿后侧疼痛时应考虑下肢深静脉血栓形成的可能,彩色多普勒检查可明确诊断。对高危患者围手术期应采取综合预防措施。

关 键 词:下肢  手术并发症  深静脉血栓形成

Symptomatic deep venous thrombosis after lower extremity operation
YUAN Jia-bin,LIU Zhong-qian,PANC Jian.Symptomatic deep venous thrombosis after lower extremity operation[J].Practical Journal of Clinical Medicine,2001(1).
Authors:YUAN Jia-bin  LIU Zhong-qian  PANC Jian
Institution:YUAN Jia-bin,LIU Zhong-qian,PANC Jian Department of Orthopaedics,People's Hospital of Sichuan Province,Chengdu 610071,China
Abstract:Objective: To discuss clinical manifestation, early diagnosis and preventive measures ofsymptomatic deep venous thrombosis after lower extremity operation. Methods: Five cases of symptomaticdeep venous thrombosis after lower extremity operation were reviewed,of which clinical manifestation andresults of Color Doppler ultrasonography were analyzed .Results: Pain of posterior leg was the first and ahigh valuable symptom of deep venous thrombosis in lower extremity. Compressive bandage after operationwas a possible factor associated with deep venous thrombosis in lower extremity. Conclusion: Possible oc-currence of deep venous thrombosis in lower extremity must be considered after lower extremity operationif pain in posterior leg is presented. Color Doppler ultrasonography can confirm the diagnosis. Combinedpreventive measures should be carried out in high-risk patients during peri-operation.
Keywords:Lower extremity  Postoperative complication  Deep venous thrombosis  
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