下肢骨折内固定术后深静脉血栓形成的预防.pdfVIP

50 食品与药品 Food and Drug 2012年第 14卷第01期 下肢骨折内固定术后深静脉血栓形成的预防 1 1 2 熊 翔 ，马 远 ，熊志宏 （1. 云南省第三人民医院骨科，云南 昆明，650011；2. 云南省第二人民医院疼痛科，云南 昆明，650011） 摘 要：目的 总结下肢骨折内固定术后，运用低分子肝素钠结合气压治疗预防深静脉血栓形成的经验。方法 2006年7 月～20 10年 ６月收治的下肢长骨骨折患者776例 （其中股骨骨折427例、胫骨骨折349例），术后皮下注射低分子肝素钠 结合间歇充气加压，预防深静脉血栓形成；术后行下肢深静脉彩色多普勒血流显像检查及后期随访，观察有无出血并发 症发生。 结果 术后无伤 口大出血病例，无出血性并发症发生。术后近期检查诊断下肢深静脉血栓形成5例，无肺栓塞发 生。术后2~3月无深静脉血栓新发病例。 结论 低分子肝素钠结合气压治疗，预防下肢骨折内固定术后深静脉血栓形成效 果满意。 关键词：下肢骨折；内固定；低分子肝素钠；气压治疗；深静脉血栓形成 中图分类号：R683.42 文献标识码：B 文章编号：1672-979X （2012 ）01-0050-02 Prevention of Deep Venous Thrombosis after Internal Fixation of Lower Limb Fractures 1 1 2 XIONG Xiang , MA Yuan , XIONG Zhi-hong (1. Dep artment of Orthop aedics, Yunnan Provincial Third Peop le s Hosp ital, Kunming 650011, China; 2. Dep artment of Pain Medicine, Yunnan Provincial Second Peop le s Hosp ital, Kunming 650011, China) Abstract: Objective To summarize the experience of using low molecular weight heparin sodium combined with air pressure treatment to prevent the form of deep venous thrombosis after the internal fixation of lower limb fractures. Methods From July 2006 to June 20 10, postoperative subcutaneous inj ections of low molecular weight heparin sodium combined with intermittent pneumatic compression were put on 776 cases with bone fractures of the lower limbs(including 427 cases with femoral fractures and 349 cases with tibial fractures), to prevent the form of deep vein thrombosis. Meanwhile, color doppler flow imaging examination of postoperative deep veins of lower limb were carried out with follow-up visits on these cases to observe if there was any bleeding complication. Results There were no postoperative