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首页> 外文期刊>International angiology: A journal of the International Union of Angiology >Deep vein thrombosis in trauma: a prospective study of lower limb orthopedic trauma patients in Tianjin Hospital, China.
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Deep vein thrombosis in trauma: a prospective study of lower limb orthopedic trauma patients in Tianjin Hospital, China.

机译：创伤中的深静脉血栓形成：中国天津医院下肢骨科创伤患者的前瞻性研究。

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AIM: Pulmonary embolism is a third leading cause of death in trauma patients. The prevalence of deep vein thrombosis (DVT) in Asian countries is considered to be less than in Western countries. Our aim was to establish the rate of DVT in orthopedic trauma patients in Tianjin Hospital, to identify DVT risk factors and to support the use of prophylaxis. METHODS: Patients admitted between November 2003 and October 2004 with recent fracture had data collected prospectively to record type of fracture, mechanism of injury, history of DVT, blood transfusion requirements, operation details, extent of postoperative swelling, use of traction, immobilization, bandaging and patient positioning. Each patient had 3 duplex ultrasound examinations, the first within 24 h of admission. Patients requiring surgery had a second ultrasound within 2 days preoperatively, then 7 days postoperatively. Patients not requiring surgery had second and third ultrasound examinations 5 and 14 days after admission. RESULTS: There were 547 patients, median age 39.6 years (interquartile range: 28-50 years). DVT developed in 12.4% (95% confidence interval: 9.7-15.2%), most occurring with femoral shaft fractures (30.6%), 15.8% occurred with hip fractures, 14.5% with fractures around the knee and 10.8% with fractured tibia and fibula. Over half of DVTs (56.7%) developed within 3 days following injury. CONCLUSION: The incidence of DVT in Chinese orthopedic trauma patients approaches that in Western countries. Guidelines for DVT prophylaxis should be applied in China as in Western countries.
机译：目的：肺栓塞是创伤患者死亡的第三大主要原因。亚洲国家的深静脉血栓形成（DVT）患病率被认为低于西方国家。我们的目的是确定天津医院骨伤科患者的DVT发生率，确定DVT危险因素并支持预防措施。方法：前瞻性收集2003年11月至2004年10月间近期骨折的患者的数据，以记录其骨折类型，损伤机制，DVT病史，输血要求，手术细节，术后肿胀程度，牵引的使用，固定，包扎和患者定位。每位患者接受3次双工超声检查，第一次在入院24小时内。需要手术的患者在术前2天，术后7天进行了第二次超声检查。不需要手术的患者在入院后5和14天进行了第二次和第三次超声检查。结果：547例患者，中位年龄39.6岁（四分位间距：28-50岁）。 DVT发生率为12.4％（95％置信区间：9.7-15.2％），大部分发生在股骨干骨折（30.6％），15.8％发生在髋部骨折，14.5％发生在膝盖周围骨折，10.8％发生在胫骨和腓骨骨折。 。受伤后3天内，超过一半的DVT（56.7％）发展。结论：中国骨科创伤患者深静脉血栓的发生率接近西方国家。与西方国家一样，DVT预防指南应在中国应用。

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