创伤骨科患者静脉血栓形成与脱水的关系探讨  

Relationship between venous thrombosis and dehydration in orthopedic patients

作　　者：郭晓倩[1] 李艳[1] GUO Xiaoqian;LI Yan(Department of Clinical Laboratory,Renmin Hospital of Wuhan University,Wuhan,Hubei 430060,China)

机构地区：[1]武汉大学人民医院检验科,武汉430060

出　　处：《国际检验医学杂志》2018年第20期2518-2520,共3页International Journal of Laboratory Medicine

基　　金：国家临床重点专科建设项目(财社[2010]305号)

摘　　要：目的探讨脱水相关指标是否影响创伤骨科患者静脉血栓的形成。方法选取2016年12月至2017年12月在该院骨科就诊的患者83例,将其分为静脉血栓阳性组[VTE(+)组]和静脉血栓阴性组[VTE(-)]两组。VTE(+)组定义:在住院期间被诊断为下肢静脉血栓或肺栓塞的患者。静脉血栓的诊断基于临床症状和超声检查。记录入选患者的年龄、性别等基础信息,并对比分析两组患者的血尿素、肌酐、血Na+及尿比密等相关指标。结果 4例(4.82%)创伤骨科患者在住院期间发生静脉血栓,VTE(+)组血尿素(Urea)水平及血Urea与血肌酐比值(Urea/Cr)均高于VTE(-)组,差异均有统计学意义(P<0.05)。结论创伤骨科患者入院时,脱水可能是静脉血栓形成的重要危险因素。Objective To investigate whether the dehydration related indexes affect the occurrence of ve nous thrombosis in patients with trauma. Methods Totally 83 patients in the study were divided into two groups, including venous thrombosis positive group EVTE （＋） group] and venous thrombosis negative group EVTE （ -） group].VTE（＋）group was defined as patients who were diagnosed with venous thrombosis or pulmonary embolism during hospitalization. The diagnosis of venous thrombosis based on the clinical syrup toms and ultrasound. The patientsI age,gender and other basic information were recorded,and the comparative analysis of two groups of patients with serum urea,creatinine,Na＋ and urine specific gravity. Results Four patients （4.82~） had venous thrombosis during hospitalization. The level of Urea and the ratio of blood Urea to creatinine （Urea/Cr） in VTE （＋） group were significantly higher than those of VTE （ -） group,and the differences were statistically significant （P^0.05）. Conclusion Dehydration may be an important risk factor for venous thrombosis in patients with traumatic orthopedics.

关 键 词：静脉血栓形成 脱水 血尿素/血肌酐 

分 类 号：R641[医药卫生—外科学]