在血液动力学不稳定的骨盆骨折中,静脉血栓栓塞的发生率和危险因素
Rachel A Holstein1, Courtney H Meyer2, Olivia Herrmann3
1Division of Acute Care Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
The Journal of surgical research
|February 6, 2026
概括
静脉血栓塞栓症 (VTE) 在血液动力学不稳定的骨盆骨折中很常见,尽管早期预防. 骨折模式不能预测静脉瘤风险,强调需要对创伤患者进行警监测.
科学领域:
- 创伤外科手术是什么
- 这是血管外科手术.
- 关键护理医学 关键护理医学
背景情况:
- 骨盆骨折可能导致严重出血和不稳定.
- 骨盆骨折形态,静脉血栓塞栓症 (VTE) 风险和患者结局之间的关系尚不清楚.
- 这项研究调查了血液动力学不稳定的骨盆骨折中的VTE.
研究的目的:
- 评估发生率,风险因素,特征和VTE的结果,在创伤患者的骨盆骨折和出血性休克.
- 为了确定骨盆骨折形态是否与静脉瘤风险有关.
- 评估VTE对重症监护室 (ICU) 和住院时间 (LOS) 和死亡率的影响.
主要方法:
- 对成人创伤患者进行了回顾性队列研究,这些患者有的骨盆环破坏和出血性休克.
- 从2022年1月到2023年5月在一级创伤中心收集的数据.
- 主要结局:住院VTE;次要结局:ICU/住院LOS,死亡率.
主要成果:
- 24.1%的患者发生了静脉瘤,肺栓塞是最常见的类型.
- 在接受治疗后的7天内发生了中位数的VTE,无论骨折模式如何.
- 静脉动脉瘤与显著更长的ICU和医院LOS有关,但不增加死亡率.
- 在VTE和人口因素或损伤严重程度之间没有发现独立的关联.
结论:
- 在血液动力学不稳定的骨盆骨折中,静脉动脉突发症是常见的并发症,即使是早期化疗预防.
- 骨盆骨折形态并不能独立预测静脉瘤的发展.
- 静脉瘤早期发病需要持续的预防和密切的患者监测.
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