局解手术学杂志Issue(3)：268-269,2.DOI:10.11659/jjssx.1672-5042.201403018
上肢创伤骨折围手术期并发深静脉血栓的诊治体会
Diagnosis and treatment of upper limb trauma fracture complicated with deep vein thrombosis during preopera-tive period
韦溦 1杨星华 1官正华 1田华科 1韦继刚 1陈辉 1郭元1
作者信息
- 1. 解放军第324医院创伤显微外科，重庆400020
- 折叠
摘要
Abstract
Objective To explore the diagnosis and treatment of upper limb trauma fracture complicated with deep vein thrombosis ( DVT) during preoperative period. Methods The data of 16 patients with upper limb trauma fractures complicated with DVT was analyzed retrospectively. The methods of diagnosis included color Doppler ultrasonography,multi slice CT angiography ( CTA) ,artery and vein visual-ization of upper limbs,and D-dimer detection. The treatment was majored in thrombolysis by urokinase and anticoagulation by low molecular heparin. Results There were 14 patients with increased levels of D-dimer,8 patients diagnosed by color Doppler ultrasonography,3 patients diagnosed by CTA and 5 by artery and vein visualization. The DVT of 5 patients before operation were disappeared after treatment and cured. Among the 10 patients received operation,8 cases were succeeded and 2 cases complicated with pulmonary embolism,and 1 case was died. Conclusion The color Doppler ultrasonography is the first priority for diagnosis of upper limb trauma fracture complicated with DVT. The patients should be discovered in time and arranged thrombolysis and anticoagulation in early time.关键词
上肢创伤骨折/深静脉血栓/诊断/治疗力学Key words
upper limb trauma fracture/deep vein thrombosis/diagnosis/treatment分类
医药卫生引用本文复制引用
韦溦,杨星华,官正华,田华科,韦继刚,陈辉,郭元..上肢创伤骨折围手术期并发深静脉血栓的诊治体会[J].局解手术学杂志,2014,(3):268-269,2.
