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Artificial joint replacement surgery to prevent the progress of deep vein thrombosis
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Artificial joint replacement surgery to prevent the progress of deep vein thrombosis
Abstract bone of hip, knee joint replacement patients, due to surgical trauma and other reasons are deep-vein thrombosis (DVT) and pulmonary embolism (PE) in high-risk groups. Deep vein thrombosis after total joint arthroplasty is the most common complication, can cause catastrophic consequences because even lead to death in the prophylactic treatment of this disease has received widespread attention to the clinician. Articles from drug prevention, non-pharmacological prevention of 2 are described in detail the prevention of deep vein thrombosis of the current progress. Clinician before surgery, patients should integration of assessment, development of detailed plans from various angles to take measures to prevent the occurrence of VTE.
Keywords: deep vein thrombosis; joint replacement surgery; Prevention
Venous thromboembolism (venous thromboembolism, VTE) including deep vein thrombosis (deepveinthrombosis, DVT) and pulmonary embolism (pulmonaryembolism, PE), is a common illness and cause of death. Orthopedics for hip, knee joint replacement patients, due to surgical trauma and other reasons are deep-vein thrombosis (DVT) and pulmonary embolism (PE) in high-risk groups [1]. As early as 2001, Geerts et al [2] that the statistics, the lower limb orthopedic surgery if not use any preventive measures, lower extremity DVT incidence of 40% ~ 84%, of which the proximal DVT rate was 8% ~ 24%, with symptoms PE incidence was 1.8% ~ 7%, fatal PE incidence was 0.2% and 2.0%, while 75% ~ 90% of the pulmonary thromboembolism from lower extremities, pelvic and inferior vena cava. Perioperative PE is a maimed, killed one of the high rate of complications. Bone Joint Surg Am, etc. [3] reported that people with hip and knee joint replacement surgery, lower extremity deep venous thrombosis incidence of 40.0% ~ 58.3%. Therefore, the prevention and t
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