Li Shun-dong, Xu Chao, Tong Pei-jian
Zhongguo Gu Shang. 2014 Oct;27(10):882-6.
Hip fracture patients preoperative and postoperative exist hidden blood loss which often affect patients' wound healing, increase the probability of infection, prolong rehabilitation exercise, influence postoperative effect. At the same time, the body's blood loss increase the activation of the blood clotting mechanism, promote the incidence of deep vein thrombosis, bleeding and deep vein thrombosis has become the main causes of high risk in hip operation. It is very important to stop bleeding, anticoagulation should not be ignored, so how to effectively deal with the prominent contradiction between the postoperative anticoagulation and bleeding or looking for a best balance has become a intractable problems in hip fracture treatment.
髋部骨折患者术前及术后存在隐性失血，这往往会影响患者伤口愈合，增加感染几率，延长康复锻炼时间，影响术后效果。同时，机体失血增加会激活凝血机制，促使深静脉血栓形成，出血和深静脉血栓已成为髋部手术高风险的主要原因。止血非常重要，抗凝也不容忽视，因此如何有效应对术后抗凝与出血之间的突出矛盾或寻找最佳平衡点已成为髋部骨折治疗中的棘手问题。
