一例股骨颈骨折术后深静脉血栓致肺栓塞诊治及预防体会  

Experience in the diagnosis,treatment and prevention of pulmonary embolism caused by deep vein thrombosis after femoral neck fracture surgery

作　　者：秦海 张桂云 那开宪[2] Qin Hai;Zhang Guiyun;Na Kaixian(Balizhuang Second Community Health Service Center,Chaoyang District,Beijing 100025,China;Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]北京市朝阳区八里庄第二社区卫生服务中心,北京100025 [2]首都医科大学附属北京朝阳医院,北京100020

出　　处：《首都食品与医药》2025年第5期56-59,共4页Capital Food Medicine

摘　　要：目的 从一例股骨颈骨折术后发生深静脉血栓形成致肺栓塞,结合文献复习探讨如何对股骨颈骨折术后深静脉血栓致肺栓塞进行预防.方法 找寻该患者发生深静脉血栓形成致肺栓塞的危险因素,临床上应用双下肢周径检查,D-二聚体检查及下肢静脉超声检查手段及时发现深静脉血栓形成.结果 高龄,既往高血压、冠心病、高脂血症,术后卧床时间及全麻是股骨颈骨折发生深静脉血栓形成致肺栓塞的危险因素.临床上根据双下肢周径检查,D-二聚体检查及下肢静脉超声检查对及时发现深静脉血栓形成很有帮助.结论 高龄,既往高血压、冠心病、高脂血症,术后卧床时间及全麻是股骨颈骨折发生深静脉血栓形成致肺栓塞的危险因素,临床上应对这些患者重点进行观察.双下肢周径检查、D-二聚体检查及下肢静脉超声检查有益于及时发现深静脉血栓形成.Objective To explore how to prevent pulmonary embolism caused by deep vein thrombosis after femoral neck fracture surgery through a case of pulmonary embolism caused by deep vein thrombosis after femoral neck fracture surgery and literature review.Methods Find the risk factors for pulmonary embolism caused by deep vein thrombosis in this patient.In clinical practice,the circumference of both lower extremities,D-dimer test and lower extremity venous ultrasound examination are used to detect deep vein thrombosis in time.Results Advanced age,previous hypertension,coronary heart disease,hyperlipidemia,postoperative bed rest time and general anesthesia are risk factors for pulmonary embolism caused by deep vein thrombosis after femoral neck fracture.In clinical practice,the examination of the circumference of both lower extremities,D-dimer test and lower extremity venous ultrasound examination are very helpful for timely detection of deep vein thrombosis.Conclusion Advanced age,previous hypertension,coronary heart disease,hyperlipidemia,postoperative bed rest time and general anesthesia are risk factors for pulmonary embolism caused by deep vein thrombosis after femoral neck fracture.In clinical practice,these patients should be observed emphatically.The examination of the circumference of both lower extremities,D-dimer test and lower extremity venous ultrasound examination are beneficial to timely detection of deep vein thrombosis.

关 键 词：股骨颈骨折术后 深静脉血栓形成 危险因素 双下肢周径 D-二聚体 下肢静脉超声 

分 类 号：R683.42[医药卫生—骨科学]