Flierl Michael A, Messina Michael J, Mitchell Justin J, Hogan Craig, D'Ambrosia Robert
Orthopedics. 2015 Apr;38(4):252-63. doi: 10.3928/01477447-20150402-06.
Venous thromboembolism (VTE) prophylaxis after total joint arthroplasty is considered best practice. However, over the past 5 years, there has been considerable debate about the ideal prophylactic regimen or modality. The American Academy of Orthopaedic Surgeons and the American College of Chest Physicians published their most recent clinical practice guidelines about VTE prophylaxis in 2011 and 2012, respectively. In addition, the Surgical Care Improvement Project published their latest recommendations in 2014. In this review, commonly used VTE prophylaxis options and the latest clinical guidelines will be discussed.
全关节置换术后的静脉血栓栓塞症(VTE)预防被视为最佳实践。然而,在过去5年中,关于理想的预防方案或方式一直存在相当多的争论。美国骨科医师学会和美国胸科医师学会分别于2011年和2012年发布了关于VTE预防的最新临床实践指南。此外,外科护理改进项目于2014年发布了其最新建议。在本综述中,将讨论常用的VTE预防选择和最新临床指南。