骨科患者漂浮血栓危险因素分析  

Analysis of Risk Factors on Free-Floating Thrombus in Orthopedic Patients

作　　者：刘利国[1] 张秀军[1] 黄梅[1] 李俊海[1] 

机构地区：[1]天津市天津医院,天津300211

出　　处：《武汉大学学报（医学版）》2015年第2期317-320,共4页Medical Journal of Wuhan University

摘　　要：目的:探讨骨科患者漂浮血栓(FFT)的发生率及危险因素。方法:以2009年1月至2013年11月因骨科疾病致深静脉血栓(DVT)患者855例为研究对象,对年龄、就诊原因、发现时间、骨折部位、发生血栓部位等方面的资料进行统计分析。结果:855例患者发生漂浮血栓70例,发生率8.2%,平均年龄51.34岁,因摔伤及车祸、工伤而入院的患者最多,伤后发现血栓时间平均4.77d,以股骨远端及髁间,胫骨近端及胫骨平台骨折发生漂浮血栓最多,达31例,占44.3%,70例漂浮血栓中,腘静脉漂浮血栓最常见,占82.9%。FFT较普通血栓(OT)风险度更高,其发生与患者年龄、病史、骨折部位及血栓发生部位均具有相关性,对于高危患者,临床医生要引起高度重视,积极采取预防措施降低FTT及肺栓塞的发生。Objective：To explore the morbidity and risk factors of floating free thrombosis（FFT）occurred in orthopedic patients.Methods：The study,based on 855 patients who suffer from deep venous thrombosis（DVT）due to bone disease from January 2009 to November 2013,is to carry on statistical analysis from patients＇ age,treatment reasons,discovery time,the fracture site,the occurrence of thrombosis and so on.Results：FFT occurred on 70 patients among the 855 bone fracture cases,the incidence rate was 8.2% and the average age was 51.34 years old.Most of the patients went to hospital by accidental injury,and thrombus was found 4.77 days after injury in average.The FFT is mostly found in fractures of distal femur,condyle,proximal tibia and of tibial plateau,amounting to 31cases（44.3%）.Popliteal vein thrombosis floating was the most common among the 70 cases,accounting for 82.9%.Conclusion：FTT,compared to ordinary thrombosis（occlusive thrombus,OT）,is relevant to patient＇s age,medical history,the fracture sites and thrombosis sites.Clinicians should pay attention to high-risk patients and actively take preventive measures to reduce the occurrence of FTT and pulmonary embolism.

关 键 词：深静脉血栓形成 漂浮血栓 肺栓塞 骨折 

分 类 号：R543.6[医药卫生—心血管疾病]