Magetsari R, Dewo P, Nugroho A S, Lanodiyu Z
Department of Orthopaedics and Traumatology, Sardjito General Hospital/Universitas Gadjah Mada, Yogyakarta, Indonesia.
Malays Orthop J. 2014 Nov;8(3):7-10. doi: 10.5704/MOJ.1411.002.
The incidence of Deep Vein Thrombosis (DVT) is high in orthopaedic cases, associated with morbidity and mortality. This study was done to evaluate the incidence of DVT and factors that contributed to DVT in elderly patients with proximal femur fracture who underwent surgery. Patients 60 years of age and older with proximal femur fracture who underwent surgery were enrolled into this study. Daily observation of the clinical signs of DVT was done post operatively until the subjects were discharged from the hospital. D-Dimer test and contrast venography were carried out on Day 2 and between Days 4 and 7 after surgery. Results were interpreted as normal and obstruction. There were 42 eligible patients, 18 of them (42.86 %) were diagnosed with DVT. We found that positive D-Dimer test (1.40), longer duration of surgery (1.86), and presence of clinical symptoms (1.09) increased the risk of the occurence of thrombosis although not statistically significant. There were four DVT patients who passed away within 4 months after surgery due to complication from DVT. The incidence of DVT in elderly with proximal femur fracture underwent surgery was relatively high (42.86 %) with the mortality rate was 22%.
深静脉血栓形成（DVT）在骨科病例中的发生率较高，与发病率和死亡率相关。本研究旨在评估接受手术的老年股骨近端骨折患者中DVT的发生率及导致DVT的因素。60岁及以上接受手术的股骨近端骨折患者被纳入本研究。术后每日观察DVT的临床体征，直至受试者出院。术后第2天以及术后第4至7天进行D - 二聚体检测和静脉造影。结果分为正常和阻塞。共有42例符合条件的患者，其中18例（42.86%）被诊断为DVT。我们发现D - 二聚体检测阳性（1.40）、手术时间较长（1.86）以及存在临床症状（1.09）会增加血栓形成的风险，尽管无统计学意义。有4例DVT患者在术后4个月内因DVT并发症死亡。接受手术的老年股骨近端骨折患者中DVT的发生率相对较高（42.86%），死亡率为22%。
