Perioperative orthopedic surgery patients experience lower extremity deep vein thrombosis prevention.doc

 PAGE \* MERGEFORMAT 8 Perioperative orthopedic surgery patients experience lower extremity deep vein thrombosis prevention [Abstract] deep vein thrombosis (DVT) is a common complication of orthopedic surgery, may seriously endanger life and health of patients. In this paper, the proper use of preoperative flexible legs stockings, reasonable functional exercises to strengthen the limb care, health education and perioperative anesthetic management, preventive medicine and other prevention and care and achieved good results. [Keywords:] orthopedic surgery; lower extremity deep venous thrombosis; Prevention and Care Joint replacement and spinal surgery as a wide range of conduct, as well as the increase in severe trauma with multiple fractures, lower extremity deep vein thrombosis (DVT) formation increased gradually in the clinical, seriously affecting the patient’s prognosis and quality of life, severe pulmonary embolism can occur (PE) and death, so the effective care to alleviate suffering and promote the rehabilitation of patients is very important. domestic DVT and PE prevention, emphasis and treatment strategies are far less in Western countries. orthopedic surgery if not performed any preventive measures before and after , appeared after about 50% chance of DVT, so the prevention of DVT, PE is very important occurrence. 1 risk factor 1.1 DVT formation of three main factors including blood coagulation, blood stagnation and blood vessel wall injury, and occur in the lower extremities [1,2], hereditary and acquired factors can lead to hypercoagulability. 1.2 Perioperative and DVT (1) routine preoperative fasting, water deprivation, gastrointestinal decompression as a result of hypercoagulability. (2) surgery patients: bed rest, leg brake, anesthesia causes peripheral vasodilation, muscle venous return reduced; intraoperative use of traction, compression, surgery equipment from any cause direct damage and shock. (3) postoperative changes in blo