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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Italian intersociety consensus statement on antithrombotic prophylaxis in hip and knee replacement and in femoral neck fracture surgery
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Italian intersociety consensus statement on antithrombotic prophylaxis in hip and knee replacement and in femoral neck fracture surgery

机译：意大利社会间共识性声明，关于髋，膝关节置换和股骨颈骨折手术中的抗血栓预防

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摘要

Anticoagulant prophylaxis for preventing venous thromboembolism (VTE) is a worldwide established procedure in hip and knee replacement surgery, as well as in the treatment of femoral neck fractures (FNF). Different guidelines are available in the literature, with quite different recommendations. None of them is a multidisciplinary effort as the one presented. The Italian Society for Studies on Haemostasis and Thrombosis (SISET), the Italian Society of Orthopaedics and Traumatology (SIOT), the association of Orthopaedists and Traumatologists of Italian Hospitals (OTODI), together with the Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI) have set down easy and quick suggestions for VTE prophylaxis in hip and knee surgery as well as in FNF treatment. This inter-society consensus statement aims at simplifying the grading system reported in the literature, and its goal is to benefit its clinical application. Special focus is given to fragile patients, those with high bleeding risk, and those receiving chronic antiplatelet (APT) and vitamin K antagonists treatment. A special chapter is dedicated to regional anaesthesia and VTE prophylaxis.
机译：预防静脉血栓栓塞（VTE）的抗凝剂预防是髋关节和膝关节置换术以及股骨颈骨折（FNF）治疗中的全球公认程序。文献中提供了不同的指南，但建议却完全不同。正如所提出的，它们都不是一项多学科的努力。意大利止血和血栓形成研究学会（SISET），意大利骨科和创伤学学会（SIOT），意大利医院骨科医师和创伤学家协会（OTODI），以及意大利麻醉，镇痛，复苏和麻​​醉学会重症监护室（SIAARTI）为髋关节和膝关节手术以及FNF治疗中的VTE预防制定了简便快捷的建议。该社会间共识声明旨在简化文献中报道的分级系统，其目标是受益于其临床应用。特别关注易碎患者，出血风险高以及接受慢性抗血小板（APT）和维生素K拮抗剂治疗的患者。特别章节专门介绍区域麻醉和VTE预防。

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