高龄下肢骨折术后患者深静脉栓塞形成原因及预防措施  

CAUSES OF FORMATION OF DEEP VEIN THROMBOSIS OF ELDERLY PATIENTS AFTER FRACTURE OF LOWER LIMB AND ITS PREVENTION MEASURES

作　　者：赵子春[1] 

机构地区：[1]青海大学附属医院创伤骨科,西宁810000

出　　处：《现代预防医学》2011年第15期3151-3152,3154,共3页Modern Preventive Medicine

摘　　要：[目的]探讨分析高龄患者下肢骨折术后深静脉血栓形成(DVT)的因素与预防措施。[方法]对11例高龄患者下肢骨折内固定术后DVT的因素进行分析,并给予积极有效地预防深静脉血栓形成的护理措施,包括术前健康教育、心理护理、康复训练、保护下肢静脉等,术后需严密观察病情、指导并帮助患者早期进行功能锻炼等。[结果]高龄患者机体组织器官的生理性退变、外伤与手术导致静脉内膜损伤、血流缓慢及血液的高凝状态等是影响高龄患者下肢骨折术后深静脉血栓形成的主要因素。[结论]下肢深静脉血栓是高龄患者下肢骨折术后较为严重的并发症之一,护理人员术后加强对患者的严密观察与护理,积极有效地预防护理干预措施可预防下肢深静脉血栓形成。[Objective]To analyse the causes of formation of deep vein thrombosis of elderly patients after fracture of lower limb and its prevention measures.[Methods]The factors of DVT of 11 elderly patients with after fracture fixation of lower extremity were analyzed,and gave active and effective nursing preventions for deep vein thrombosis,including preoperative health education,psychological care,rehabilitation,protection of lower limb vein,close observation after surgery,early functional exercise.[Results]The main factors of formation of deep vein thrombosis of elderly patients after fracture of lower limb were physiological tissue and organ degeneration,intimal injury due to trauma and surgery,blood flow slow and blood coagulation status.[Conclusion]The deep vein thrombosis after lower limb fracture in elderly patients is one of serious complications. Surgery nurses should strengthen the close observation and care of patients,active and effective prevention interventions can prevent deep vein thrombosis.

关 键 词：高龄 骨折 下肢 深静脉血栓 预防措施 

分 类 号：R543.6[医药卫生—心血管疾病]