髋臼骨折后下肢深静脉血栓形成

INCIDENCE OF LOWER LIMB DEEP-VEIN THROMBOSIS AFTER ACETABULAR FRACTURE

目的 探讨深静脉血栓(DVT)形成的机理及防治对策。方法 对32例下肢DVT患者行超声多普勒检查,记录并分析受伤肢体的左右侧别、库血的输入、年龄、糖尿病、心脑血管疾病、肥胖等因素与下肢DVT形成的关系。结果 在同期164例髋臼骨折患者中DVT 32例(19.5％);近端DVT 7例(21.9％),远端DVT 18例(56.2％),全静脉DVT7例(21.9％);左下肢DVT 21例(65.6％),右下肢11例(34.4％);库血输入28例(88.8％);使用止血带8例(25％);患者平均年龄为63岁。结论 髋臼骨折患者中,存在高危因素者DVT发生率较高,建议对围手术期存在高危因素患者采取适当的预防性治疗,对发生DVT者行常规有效的治疗。

Objective: To investigate the pathogenic mechanism, prevention and treatment of lower limb DVT. Methods: Thirty two cases were underwent ultrasonic examination and the results were recorded. We analyzed the relation between lower limb DVT with the side of injured leg, banked blood transfusion, age, diabetics, cardio-cerebral vascular disease and obesitas. Results: There were 32 cases(19.5%) suffered from DVT in 164 cases of Acetabudar Fractures. In 32 cases there were 7 cases of thigh DVT(21.9%), 18 cases of calf DVT(56.2%), 7 cases of whole- leg DVT (21.9%); 21 cases of left leg DVT(65.6%), 11 cases of right leg DVT(34.4%). There were 28 cases(88.8% ) who had banked blood transfusion in 32 DVT cases, 8 cases(25%) underwent operation with toumiquet. Their average age were 63 years. Conclusion: It is very easy to get Leg- DVT for patients suffering from acetabtular fracture. Some proper preventive treatment is suggest for leg trauma patients in peri-operation time, and also effective routine treatment must give to DVT patients.