下肢手术后有症状的下肢深静脉血栓形成

Symptomatic Deep Venous Thrombosis after Lower Extremity Operation

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一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。

Objective: To discuss clinical manifestation,early diagnosis and preventive measure of symptomatic deep venous thrombosis after lower extremity operation.Methods: Five cases of symptomatic deep venous thrombosis after lower extremity operation were reviewed,of which clinical manifestation and results of Doppler Ultrasonography were analyzed.Results: Pain of lower leg was the first and a high valuable symptom of deep venous thrombosis in lower extremity.Compressive dressing after operation was a possible factor associated with deep venous thrombosis in lower extremity.Conclusions: Possible appearence of deep venous thrombosis in lower extremity must be considered after lower extremity operation if pain of lower leg is presented.Doppler Ultrasonograhy can confirm the diagnosis.Combined preventive measures should be carried out for high-risk patients after operation.