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骨科手术中深静脉血栓形成和肺栓塞的考量

Deep Vein Thrombosis and Pulmonary Embolism Considerations in Orthopedic Surgery.

作者信息

Saleh Jasmine, El-Othmani Mouhanad M, Saleh Khaled J

机构信息

Department of Research Institute, National Institute of Health, 9000 Rockville Pike Street, Bethesda, MD 20892, USA.

Department of Orthopaedics and Sports Medicine, Detroit Medical Center, University Health Center (UHC), 4201 Saint Antoine Street, 9B, Detroit, MI 48201-2153, USA.

出版信息

Orthop Clin North Am. 2017 Apr;48(2):127-135. doi: 10.1016/j.ocl.2016.12.003. Epub 2017 Jan 27.

DOI:10.1016/j.ocl.2016.12.003
PMID:28336037
Abstract

Patients undergoing orthopedic surgery have an increased risk for deep venous thrombosis (DVT) and pulmonary embolism (PE). These complications are considered detrimental, as they cause major postoperative morbidity and mortality and lead to a substantial health care burden. Because of the high incidence and serious nature of these complications, it is essential for orthopedic surgeons to have a comprehensive knowledge of the risk factors, diagnosis, and treatment of acute DVT and PE. Perioperative management of orthopedic patients to prevent postoperative DVT and PE and optimize postoperative outcomes is also discussed in this review.

摘要

接受骨科手术的患者发生深静脉血栓形成(DVT)和肺栓塞(PE)的风险增加。这些并发症被认为是有害的,因为它们会导致严重的术后发病率和死亡率,并带来巨大的医疗负担。由于这些并发症的高发生率和严重性,骨科医生全面了解急性DVT和PE的危险因素、诊断和治疗至关重要。本文还讨论了骨科患者的围手术期管理,以预防术后DVT和PE并优化术后结局。

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