创伤性下肢骨折后深静脉血栓形成的危险因素和临床价值
XiuYun Zeng1,2, Dan Zhu1,2, ZhiFeng Xiao2
1Department of Sports Medicine and Traumatology, University Town Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong, China.
Journal of clinical laboratory analysis
|March 28, 2025
概括
下肢骨折后的深静脉血栓 (DVT) 是常见的,发生在39%的患者中. 晚年和较高的D-二次体水平是发展DVT的关键风险因素.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 血栓形成研究研究
背景情况:
- 深静脉血栓症 (DVT) 是创伤下肢骨折后的一种严重并发症.
- 了解相关风险因素对于有效的预防和管理策略至关重要.
研究的目的:
- 识别和分析患有创伤下肢骨折的患者DVT的危险因素.
- 评估这些已识别的风险因素的临床意义.
主要方法:
- 根据外科手术前发生的情况,患者被分为DVT和非DVT组.
- 使用统计分析来选风险因素并评估手术后一个月的血栓回归.
主要成果:
- 全体DVT发生率为39.29%,部部/胸腔骨折的发生率很高 (46.67%).
- 确定的独立风险因素包括65岁以上的年龄,糖尿病和手术后Hb下降30g/L.
- 入院时纤维素素 (FIB) 和D-二次体 (D-D) 水平升高与增加DVT风险有显著的关联.
结论:
- 创伤性下肢骨折后的深静脉血栓形成与多种风险因素有关.
- 晚年和入院时D-二次体水平升高被确定为DVT的特别关键预测因素.
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