开放性下肢长骨骨折并发肺血栓栓塞临床分析

Clinical analysis of open lower extremity long bone fractures complicated with pulmonary thromboembolism

目的探讨开放性下肢长骨骨折并发肺血栓栓塞临床特点及干预效果。方法选取110例开放性下肢长骨骨折手术患者,对其术后是否发生下肢静脉血栓形成的两组患者的临床资料进行分析。结果开放性不同长骨骨折静脉血栓形成与患者的年龄、性别、合并糖尿病、体重指数偏高、血脂异常、受伤程度评分、卧床时间长等有关(P<0.05)。结论年龄、高血压病、糖尿病、血脂异常是开放性长骨骨折并发肺血栓栓塞的危险因素,而加强干预则有助于降低肺血栓栓塞的发生。

Objective To explore the clinical features and intervention of open lower extremity long bone fractures complicated with pulmonary embolism. Methods 110 patients received lower extremity long bone fracturesopen surgery were divided into two groups based on venous thrombosis, and then their clinical data were analyzed. Results The vein thrombosis of open long bone fractures was correlated with patient age, gender, diabetes, body mass index, dyslipidemia injury severity score, and long time in bed （P 〈 0. 05 ）. Conclusion The risk factors of vein thrombosis include age, gender, diabetes, body mass index, dyslipidemia injury severity score, and long time in bed, and the related intervention can reduce the incidence of pulmonary thromboembolism.