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足踝手术中的血栓栓塞预防:我们该怎么做?

Thromboembolic prophylaxis in foot and ankle surgery what should we do?

作者信息

Hardy Mark A

机构信息

Cleveland Clinic Foundation-Kaiser Permanente Foundation, 10 Severance Circle, Cleveland Heights, OH 44118, USA.

出版信息

Foot Ankle Spec. 2011 Apr;4(2):120-3. doi: 10.1177/1938640010395876. Epub 2011 Feb 28.

DOI:10.1177/1938640010395876
PMID:21357762
Abstract

The majority of orthopaedic venous thromboembolism (VTE) literature involves major orthopaedic surgery, which has distinct differences in comparison with foot and ankle surgery. Despite the current evidence-based medicine advocating against routine prophylaxis, confusion remains around who should be prophylaxed and with what modality. Clearly, larger prospective studies are needed to determine those individuals who require prophylaxis for the prevention of venous thromboembolic events following foot and ankle surgery.

摘要

大多数骨科静脉血栓栓塞(VTE)文献都涉及大型骨科手术,这与足踝手术相比有明显差异。尽管目前循证医学主张不进行常规预防,但对于哪些人应该接受预防以及采用何种方式预防仍存在困惑。显然,需要开展更大规模的前瞻性研究,以确定那些在足踝手术后需要预防静脉血栓栓塞事件的个体。

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引用本文的文献

1
II Italian intersociety consensus statement on antithrombotic prophylaxis in orthopaedics and traumatology: arthroscopy, traumatology, leg immobilization, minor orthopaedic procedures and spine surgery.意大利矫形外科学会和创伤学会关于矫形和创伤中抗血栓预防的共识声明:关节镜检查、创伤、腿部固定、小矫形手术和脊柱手术。
J Orthop Traumatol. 2013 Mar;14(1):1-13. doi: 10.1007/s10195-012-0214-y. Epub 2012 Dec 7.