骨折患者术后凝血功能变化及早期深静脉血栓临床诊治  

Change of postoperative blood coagulation function and clinical diagnosis and treatment for early deep venous thrombosis in patients with fracture

作　　者：洪浩[1] 李军[1] 蒋启龙[1] 宋奇志[1] 

机构地区：[1]重钢总医院骨科,重庆400080

出　　处：《实用临床医药杂志》2017年第3期82-84,共3页Journal of Clinical Medicine in Practice

基　　金：重庆市新技术推广项目(c20152276)

摘　　要：目的探讨骨折患者术后凝血功能变化以及早期深静脉血栓的临床诊治。方法选择80例骨折术后患者,分为对照组和观察组各40例,检测2组患者术前以及术后1、3、5及7天的凝血功能指标变化和血小板计数。结果所有患者术后第1、3、5及7天的PT、TT以及APTT显著增加(P<0.05)。患者术后的PLT指标显著降低(P<0.05)。治疗后,观察组患者凝血功能各项指标显著下降(P<0.05)。结论骨折患者术后由于麻醉等原因导致静脉舒张和血液高凝的状态。Objective To explore the change of blood coagulation function and the clinical diagnosis and treatment for early deep venous thrombosis in patients with fracture after operation. Methods A total of 80 fracture patients were divided into control group and observation group, 40 cases in each group. Blood coagulation indexes and platelet count before and 1,3,5 and 7 days after the operation were compared between two groups. Results The PT, TT, and APTT increased significantly at 1, 3, 5 and 7 days after surgery in all the patients （P 〈 0.05 ）. After operation, the PLT decreased significantly （P 〈 0.05 ）. After treatment, the indexes of blood coagulation function in the observation group significantly decreased （P 〈 0.05 ）. Conclusion After the operation, the patients with fracture had venous relaxation and high blood coagulation status caused by anesthesia and other reasons.

关 键 词：骨折 凝血功能 早期深静脉血栓 临床诊治 

分 类 号：R683[医药卫生—骨科学]