重庆医学2016，Vol.45Issue(19)：2620-2622,2625,4.DOI:10.3969/j.issn.1671-8348.2016.19.009
腹部创伤患者发生深静脉血栓的影响因素
Influencing factors of deep venous thrombosis in patients with abdominal trauma
摘要
Abstract
Objective To analyze the influencing factors of deep vein thrombosis (DVT ) in the patients with abdominal trau‐ma .Methods A total of 200 cases of patients with abdominal trauma in our hospital from June 2014 to June 2015 were selected and performed the color Doppler ultrasonography for determining whether DVT occurring .The clinical data were retrospectively ana‐lyzed .The influencing factors of DVT occurrence in the patients with abdominal trauma were analyzed .Results Among 200 cases of abdominal trauma ,56 cases appeared the symptoms and signs of muscular pressing pain ,swelling pain ,positive Homans sign ,su‐perficial varicose and skin temperature decrease within 7 d after abdominal trauma ,60 cases were diagnosed as DVT by color Doppler ultrasonography .The multivariate Logistic regression analysis results showed that advanced age ,high cholesterol level ,high D‐dimer level ,high blood urea nitrogen level ,complicating hypertension ,complicating diabetes ,complicating hyperlipidemia ,surgical history at preoperative 1 month ,lower abdominal trauma ,high score of trauma ,bedridden time more than 3 d and infection were the independent risk factors of DVT occurrence in abdominal trauma patients (P<0 .05) .Conclusion Clinic should perform the color Doppler ultrasound screening in the abdominal trauma patients with risk factors of DVT ,which is conducive to early discovery and early treatment of DVT .关键词
腹部创伤/深静脉血栓/危险因素Key words
abdominal trauma/deep vein thrombosis/risk factors分类
医药卫生引用本文复制引用
张建涛,吴畏,钱惠岗,陈光安..腹部创伤患者发生深静脉血栓的影响因素[J].重庆医学,2016,45(19):2620-2622,2625,4.基金项目
青海省科技厅资助项目（q632013Y0113）。 （）
