| 下肢骨折并发深静脉血栓形成的诊治 |
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| 引用本文： | 李锋,李光辉,夏仁云. 下肢骨折并发深静脉血栓形成的诊治[J]. 临床外科杂志, 2002, 10(6): 361-362 |
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| 作者姓名： | 李锋 李光辉 夏仁云 |
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| 作者单位： | 430030,武汉,华中科技大学同济医学院附属同济医院骨科 |
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| 摘 要： | 目的：研究下肢骨折并发深静脉血栓形成的防治规律及治疗前后血液流变学变化。方法：对26例患者应用中西医结合方法，活血化瘀、溶栓、降粘，分别于用药前和用药后第10天测定血液流变学指标，并对上述数据进行统计学处理及对比分析。结果：26例病人，疗效优者12例，良13例，差1例，总有效率96.2％，疗效满意。结论：对于骨折后深静脉血栓的发生应以预防为主，及时降粘、改善血液高凝状态，早期诊断早期治疗是取得疗效的关键。
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| 关 键 词： | 下肢骨折 深静脉血栓形成 治疗 诊断 血液流变学 DVT |
| 文章编号： | 1005-6483(2002)06-0361-02 |
| 修稿时间： | 2001-01-28 |
The diagnosis and treatment of deep venous thrombosis following fracture of lower limb |
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| LI Feng,LI Guanghui,XIA Renyun. The diagnosis and treatment of deep venous thrombosis following fracture of lower limb[J]. Journal of Clinical Surgery, 2002, 10(6): 361-362 |
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| Authors: | LI Feng LI Guanghui XIA Renyun |
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| Affiliation: | LI Feng,LI Guanghui,XIA Renyun.Department of Orthopaedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China |
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| Abstract: | Objective To observe the treatment and prophylaxis of deep venous thrombosis(DVT) following fracture of lower limb and the hemorheological changes before and after treatment.Methods 26 patients underwent fracture of lower limb for study received thromholytic therapy,decreasing blood viscosity,promoting blood circulation by eliminating stasis.Before treatment and on the tenth day after treatment,the hemorheological parameters were tested.There existed a statistical analysis for the data processing.Results Among 26 patients,therapeutic evaluation:12 patients was superior,13 patients were favorable,only one patient was infective,and the total effective rate was 96.2%.Curative effect was satisfied.Conclusions The most important was prevention first for the patient with DVT following fracture of lower limb.The critical measure was early diagnosis and early treatment. |
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| Keywords: | Fracture Deep venous thrombosis Treatment Prophylaxis |
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