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|本期目录/Table of Contents|

骨科手术后深静脉血栓的国内外现状分析和策略(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2017年第3期
页码:
369-372
栏目:
综述
出版日期:
2017-01-25

文章信息/Info

Title:
Current analysis and strategies of deep vein thrombosis after orthopedic surgery at home and abroad
作者:
朱肖星1; 朱萧玲2; 陈定章1; 康 楠1; 郑敏娟1; 刘丽文1; 周晓东1; 朱妙章3
第四军医大学：1.西京医院超声科，2.西京医院麻醉科，3.生理学教研室，陕西 西安 710032
Author(s):
ZHU Xiao-xing1;  ZHU Xiao-ling2;  CHEN Ding-zhang1;  KANG Nan1;  ZHENG Min-juan1;  LIU Li-wen1;  ZHOU Xiao-dong1;  ZHU Miao-zhang3
1.Department of Ultrasound Diagnosis, 2.Department of Anesthesiology, Xijing Hospital, 3.Department of Physiology, Fourth Military Medical University, Xi’an 710032, Shaanxi, China
关键词:
深静脉血栓（DVT）;  干预策略; 骨科手术
Keywords:
deep venous thrombosis;  intervention strategy;  orthopedic surgery
分类号:
R543.6
DOI:
-
文献标识码:
A
摘要:
骨科手术后深静脉血栓（DVT）是临床上常见的危急重症，发病率呈逐年升高的趋势。术中、术后及肢体固定等制动状态引起静脉血流滞缓，静脉壁损伤和血液高凝状态，这3种因素是促使DVT形成的因素。因此，减弱上述3个因素中的任何一个，均可以降低DVT的发病率。结合我国国情，本文分析了骨科手术后深静脉血栓的国内外干预策略并作简要的综述。
Abstract:
Deep venous thrombosis (DVT) is a common critical emergency with an increasing incidence during recent years. Sluggish venous blood, vein wall damage and high blood coagulation contribute to the formation of DVT after orthopedic surgery. Therefore, if any one of the above three factors is diminished, the incidence of DVT will be reduced. Based on a domestic and foreign country analysis, the interventional strategy of DVT is briefly reviewed.

参考文献/References

[1]Zhang J,Chen Z,Zheng J,et al.Risk factors for venous thromboembolismafter total hip and total knee arthroplasty:a meta-analysis[J].Arch Orthop Trauma Surg,2015,135(6):759-772.
[2]Clarke MT,Green JS,Harper WM,et al.Screening for deep-venous thrombosis after hip and knee replacement without prophylaxis[J].J Bone Joint Surg Br, 1997,79(5):787-791.
[3]吕厚山，徐 斌.人工关节置换术后下肢深静脉血栓形成[J].中华骨科杂志,1999,19(3):155.
[4]Dua A,Neiva S,Sutherland A.Does previous varicose vein surgery alter deep vein thrombosis risk after lower limb arthroplasty[J].Orthop Surg,2012,4(4):222-226.
[5]唐 旭.骨科大手术后下肢深静脉血栓形成的原因分析及防治方法研究[J].中国医药导刊,2014,16(6):1082-1083.
[6]汪 润，刘鹏飞.骨科术后下肢深静脉血栓形成与麻醉方式的关系分析[J].血栓与止血学,2016,22(3):341-343.
[7]夏爱君，郭方明，赵 燕,等.超声对下肢骨折后深静脉血栓形成的检测及相关因素的评价[J].中华临床医师杂志,2009,3(6):958-964.
[8]Kang BJ,Lee YK,Kim HJ,et al.Deep venous thrombosis and pulmonary embolism are uncommon in East Asian patients after total hip arthroplasty[J].Clin Orthop,2011,469(12):3423-3428.
[9]Pedersen AB,Mehnert F,Sorensen HT,et al.The risk of venous thromboembolism,myocardial infarction,stroke,major bleeding and death in patients undergoing total hip and knee replacement:a 15-year retrospective cohort study of routine clinical practice[J].Bone Joint J,2014,96(4):479-485.
[10]齐典文,张国川,扈文海,等.骨转移癌患者下肢深静脉血栓形成的危险因素分析[J].中华肿瘤杂志,2014,36:469-472.
[11]Pedersen AB,Mehnert F,Johnsen SP,et al.Venous thromboembolism in patients having knee replacement and receiving thromboprophylaxis:a Danish population-based follow-up study[J].J Bone Joint Surg Am,2011,93(14):1281-1287.
[12]Leizorovicz A,Mismetti P.Preventing venous thromboembolism in medical patients[J].Circulation,2004,110(24 Suppl 1):IV13-IV19.
[13]周 稳，叶 斌，任 东.骨转移癌患者发生下肢深静脉血栓的相关因素分析[J].中国肿瘤临床与康复,2015,22(6):681-683.
[14]曹烈权,黄建华.下肢深静脉血栓形成的原因分析与对策[J].中华实用医药杂志,2006,6(20):189.
[15]孙占峰,姜维良,张英男,等.下肢深静脉血栓形成与ABO血型关系的初步研究[J].哈尔滨医科大学学报,2007,41(5):509-511.
[16]Li D,Pise MN,Overman MJ,et al.ABO non-O type as a risk factor for thrombosis in patients with pancreatic cancer[J].Cancer Med,2015,4(11):1651-1658.
[17]Dennis J,Johnson CY,Adediran AS,et al.The endothelial protein C receptor(PR0CR)Ser219Gly variant and risk of common thrombotic disorders:a HuGE review and meta-analysis of evidence from observational studies[J].Blood,2012,119(10):2392-2400.
[18]王晓蓓，胡丽华.内皮细胞蛋白c受体基因多态性与湖北地区汉族人群深静脉血栓形成的相关性研究[J].华中科技大学学报(医学版), 2008,37(4):490-492.
[19]Zhang Z,Tian H,Pan J,et al.Effect of statins use on the prevention of venous thromboembolism:a meta-analysis[J].Journal of Medical Colleges of PLA,2012,27(5):261-269.
[20]Bahl V,Hu HM,Henke PK,et al.A validation study of a retrospective venous hromboembolism risk scoring method[J].Ann Surg,2010,251(2):344-350.
[21]Pannucci CJ,Bailey SH,Dreszer G,et al.Validation of the Caprini risk assessment model in plastic and reconstructive surgery patients[J].J Am Coll Surg,2011,212(1):105-112.
[22]鲁 宁,杨 阳,苗绍刚.全髋关节置换术后血栓性疾病危险因素多元回归分析[J].上海医学,2013(9):772-774.
[23]Shi D,Xu X,Xu Z,et al.P-selectin: an unpredicted factor for deep vein thrombosis after total hip arthroplasty[J].Biomed Res Int,2014,2014:783967.
[24]Yayan J,Bals R.Relative Risk of Deep Vein Thrombosis in Very Elderly Patients Compared With Elderly Patients[J].Clin Appl Thromb Hemost,2016,22(1):77-84.

备注/Memo

备注/Memo:
收稿日期：2016-06-28.基金项目:国家自然科学基金项目资助（31271220） 通讯作者:周晓东，教授,主要从事心血管医学影像学研究 Email：zhouxd@fmmu.edu.cn 作者简介:朱肖星，主治医师，博士 Email：m18161841091@163.com 共同第一作者：朱萧玲，主治医师，博士 Email：carbbean-66@126.com 共同第一作者：康楠，医师 Email：2728375@qq.com
更新日期/Last Update: 2017-02-20