地震髋部骨折伤员深静脉血栓的预防
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摘要
目的总结地震髋部骨折伤员深静脉血栓形成的综合预防措施。方法按深静脉血栓形成高危因素对195例地震髋部骨折伤员进行分级评估,并针对性实施综合预防措施,观察深静脉血栓形成的症状和体征,评价综合预防措施对预防地震髋部骨折伤员深静脉血栓形成的作用。结果地震髋部骨折伤员应用综合预防措施后,未发现下肢深静脉血栓形成的病例。结论采取综合预防措施,对预防地震髋部骨折伤员深静脉血栓形成有积极意义。
Objective To summarize the comprehensive intervention to prevent deep venous thrombosis in hip fracture pa- tients after Wenchuan earthquake.Methods Totally 195 patients with hip fracture were evaluated on risk of deep venous thrombosis and preventive measures were taken accordingly.Signs and symptoms of deep venous thrombosis were observed care- fully,and the effect was evaluated.Results No cases suffered deep venous thrombosis during hospitalization.Conclusion The comperhensive intervention could effectively prevent deep venous thrombosis in hip fracture patients following Earthquake.
Objective To summarize the comprehensive intervention to prevent deep venous thrombosis in hip fracture pa- tients after Wenchuan earthquake.Methods Totally 195 patients with hip fracture were evaluated on risk of deep venous thrombosis and preventive measures were taken accordingly.Signs and symptoms of deep venous thrombosis were observed care- fully,and the effect was evaluated.Results No cases suffered deep venous thrombosis during hospitalization.Conclusion The comperhensive intervention could effectively prevent deep venous thrombosis in hip fracture patients following Earthquake.
引文
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[8]Saqedal S,Hartmann A.Low molecular weight heparins as thromboprophy- taxis in patients undergoing hemodialysis/hemofiltration or continuous renal replacement therapies[J].Eur J Med Res,2004,9(3):125-130.
[9]Lim W,Cook DJ,Crowther MA.Safety and efficacy of low molecular weight heparins for hemodialysis in patients with end-stage renal fail- ure:a meta-analysis of randomized trials[J].J Am Soc Nephrol,2004, 15(12):3192-3206.
[10]宁宁，侯晓玲，谭小波，等．骨科康复护理学[M]．北京：人民军医出版社，2005：84．
[11]马开兰．“损伤控制骨科”在严重骨盆骨折救治中的实施和护理[J]．中华护理杂志，2008，43(4)：311-313．
[2]Geerts WH,Pineo GF,Heit JA,et al.Prevention of venous thromboem- bolism:the seventh ACCP conference on antithrombotic and thrombolyt- ie therapy[J].Chest,2004,126(3 Suppl):338-400.
[3]Keiekegard A,Nogrrene L.Graduated compression stockings in the Pre- vention of deep vein thrombosis in patients with acute myocardial in- facetion[J].Eur Heart J,1993,14(10):1365-1368.
[4]陈雁西，俞光荣．动静脉泵在骨科临床应用中的现状与展望[J]．中华创伤杂志，2005，21(4)：309-311．
[5]邱贵兴，戴魁戎，杨庆铭，等．预防骨科大手术后深静脉血栓形成的专家建议[J]．中华骨科杂志，2005．10(25)：10-15．
[6]戴魁戎，陈永强，陈启明．等．现代骨科学[M]．北京：科学技术文献出版社，2003：385．
[7]李海明，薛骏，顾勇，等．低分子肝素钠(活多史)在血透抗凝中的临床应用[J]．第三军医大学学报，2006，28(18)：1918-1919．
[8]Saqedal S,Hartmann A.Low molecular weight heparins as thromboprophy- taxis in patients undergoing hemodialysis/hemofiltration or continuous renal replacement therapies[J].Eur J Med Res,2004,9(3):125-130.
[9]Lim W,Cook DJ,Crowther MA.Safety and efficacy of low molecular weight heparins for hemodialysis in patients with end-stage renal fail- ure:a meta-analysis of randomized trials[J].J Am Soc Nephrol,2004, 15(12):3192-3206.
[10]宁宁，侯晓玲，谭小波，等．骨科康复护理学[M]．北京：人民军医出版社，2005：84．
[11]马开兰．“损伤控制骨科”在严重骨盆骨折救治中的实施和护理[J]．中华护理杂志，2008，43(4)：311-313．
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