期刊文献+

骨关节围手术期肺栓塞危险因素分析

原文传递
导出
摘要 目的分析骨关节围手术期肺栓塞的危险因素。方法 5例发生肺栓塞,其中胫骨平台骨折行切开复位内固定1例,踝关节Pilon骨折行外固定架1例,前交叉韧带断裂行关节镜下重建1例,股骨颈骨折髋关节置换1例,膝关节骨性关节炎膝关节置换手术1例。对肺栓塞病例的病史、实验室检查、手术情况及肺栓塞发生及诊治经过进行分析。结果 5例肺栓塞患者中3例抢救无效死亡。1例在术中发生肺栓塞,4例发生时候均以明显的胸闷、呼吸困难为主要表现。所有患者发生肺栓塞之前均有较长时间的卧床病史(6~40d),3例发生于卧床制动后的6~9d。3例术前检查为高脂血症,4例患者术中行止血带时间均超过1h,3例手术时间超过3h。结论高脂血症、长期卧床及下肢手术时间较长的病例可能为肺栓塞的高危人群,及时的诊治对于肺栓塞救治意义重大。
出处 《江苏医药》 CAS CSCD 北大核心 2011年第20期2433-2434,I0001,共3页 Jiangsu Medical Journal
  • 相关文献

参考文献9

  • 1Dahl OE,Caprini JA,Colwell CW Jr, et al. Fatal vascular out- comes following major orthopedic surgery[J].Thromb Haem ost, 2005,93(5) : 860-866.
  • 2Martin Riedel. Acute pulmonary embolism: pathophysiology, clinical presentation, and diagnosis [J].Heart, 2001,85 ( 3 ) : 229-240.
  • 3Kearon C. Natural history of venous thromboebolism[J]. Cir- culation, 2003,107(23) : 22-30.
  • 4Perrier A, Bounameaux H. Cost-effective diagnosis of deep vein thrombosis and pulmonary embolism[J].Thromb Haem- ost, 2001,86(1) : 475-487.
  • 5Stein PD, Hull RDo Multidetector computed tomography for acute pulmonary embolism[J]. Curt Opin Pulm Med,2007,13 (5):384-388.
  • 6Elias A,Cazanave A,Elias M, et al. Diagnostic management of pulmonary embolism using clinical assessment, plasma D-dimer assay, complete lower limb venous ultrasound and helical com- puted tomography of pulmonary arteries. A multicentre clinical outcome study[J]. Thromb Haemost, 2005,93 (5) : 982-988.
  • 7Nakamura M, Sakuma M, Yamada N, et al. Risk factors of acute pulmonary thromboembolism in Japanese patients hospi talized for medical illness: results of a multicenter registry in the Japanese society of pulmonary embolism research[J]. J Thromb Thrombolysis, 2006,21(2) : 131-135.
  • 8Conget F, Otero R, Jimenez D, et al. Short-term clinical out-- come after acute symptomatic pulmonary embolism [J]. Thromb Haemost, 2008,100 (5) : 937-942.
  • 9Mantilla CB, Horlocker TT,Schroeder DR, et al. Risk factors for clinically relevant pulmonary embolism and deep venous thrombosis in patients undergoing primary hip or knee arthro- plasty[J]. Anesthesiology, 2003,99 (3) : 552-560.

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部