[1]韩晓强,王化齐△.下肢创伤骨折患者健侧肢体深静脉血栓发生特点及危险因素分析[J].陕西医学杂志,2020,49(4):458-461，469.
　HAN Xiaoqiang,WANG Huaqi..Characteristics and risk factors of deep vein thrombosis in the contralateral limb of patients with traumatic fracture of lower extremity[J].,2020,49(4):458-461，469.
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下肢创伤骨折患者健侧肢体深静脉血栓发生特点及危险因素分析
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年4期
页码:
458-461，469
栏目:
临床研究
出版日期:
2020-04-05

文章信息/Info

Title:
Characteristics and risk factors of deep vein thrombosis in the contralateral limb of patients with traumatic fracture of lower extremity
文章编号:
DOI:10.3969/j.issn.10007377.2020.04.018
作者:
韩晓强; 王化齐△
陕西省安康市中医医院骨科(安康725000)
Author(s):
HAN Xiaoqiang; WANG Huaqi.
Department of Orthopedics,Ankang Hospital of Traditional Chinese Medicine(Ankang 725000)
关键词:
创伤骨科;  下肢骨折;  深静脉血栓;  健侧肢体;  临床特点;  危险因素
Keywords:
Traumatology and orthopedics;  Lower limb fracture;  Deep vein thrombosis;  Uninvolved limb;  Clinical characteristics;  Risk factor
分类号:
R658.3
文献标志码:
A
摘要:
目的:探究下肢创伤骨折患者健侧肢体深静脉血栓(DVT)发生特点及其危险因素。方法:回顾性分析511例接受手术治疗的下肢创伤性骨折患者临床资料。统计分析患者年龄、性别、体重指数(BMI)、骨折部位、合并症、创伤至手术时间、手术至出院时间、ASA分级、补液量、D-二聚体(D-D)水平、DVT发生时间、位置及首发症状等资料。分析影响健侧DVT发生的危险因素。结果:511例患者健侧DVT发生率为4.89%,主要发生于创伤3 d后(24.00%)和术后3 d(48.00%)内,以远端血栓为主(80.00%),疼痛或伴发热和肿胀发硬为其首发临床症状。患者年龄、骨折部位、创伤至手术时间、术后1 d D-D水平均是影响健侧下肢DVT形成的独立危险因素(P<0.05)。结论:下肢创伤骨折患者住院期间健侧肢体具有较高DVT发生风险,疼痛或伴发热和肿胀发硬为其首发临床症状,年龄、骨折部位、创伤至手术时间、术后1 d D-D水平均是影响健侧下肢DVT形成的独立危险因素,临床需加强对该类患者的围术期管理,预防DVT发生。
Abstract:
Objective:To investigate the characteristics and risk factors of deep vein thrombosis(DVT)in the contralateral limbs of patients with traumatic fracture of lower extremity. Methods:The clinical data of 511 patients with traumatic fracture of lower extremity who underwent surgical treatment were retrospectively analyzed. The age,gender,body mass index(BMI),fracture site,comorbidities,time from trauma to surgery,time from surgery to discharge,ASA classification,fluid infusion volume,D-dimer(DD)level,DVT occurrence time,location and first symptom,and other data were collected and analyzed. The risk factors influencing the occurrence of contralateral DVT were analyzed. Results:The incidence of DVT in the uninjured side of 511 patients was 4.89%,which mainly occurred within 3 days(24.00%)after trauma and 3 days after surgery(48.00%),with distal thrombus as the main symptom(80.00%),pain or accompanied by fever and swelling and stiffness as the first clinical symptom. The age,fracture site,time from trauma to surgery and 1 d D-D level after surgery were independent risk factors of DVT formation in the healthy side(P<0.05). Conclusion:Patients with lower extremity trauma fractures have higher risk of DVT during hospitalization. Pain or associated fever and swelling and stiffness are the first clinical symptoms. The age,fracture site,time from trauma to surgery and 1 d D-D level after surgery are independent risk factors affecting the formation of DVT in the healthy side of the lower extremity. Therefore,it is necessary to strengthen the perioperative management of such patients to prevent DVT.

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更新日期/Last Update: 2020-04-13