Clayton M L, Thompson T R
St. Joseph's Hospital, Denver, Colorado.
Orthopedics. 1987 Nov;10(11):1525-7.
In this prospective study 90 patients underwent 100 total knee replacements. Each patient walked and practiced rehabilitation exercises one day preoperatively and the morning of surgery. The contralateral calf was intermittently pumped during surgery followed by bilateral pulsatile calf compression postoperatively. Aspirin was administered in the recovery room and continued 600 mg twice a day until discharge. Early activity and ambulation postoperatively were expected. Routine deep venous thrombosis screening tests were not performed. No physiologically significant postoperative venous thrombosis on any of these patients were observed. A Doppler test was performed on eight patients, venogram on two patients, and V/Q lung scan on two patients in whom a thromboembolic disease problem was clinically suspected. All of these tests were negative except for one V/Q scan.
在这项前瞻性研究中，90例患者接受了100次全膝关节置换术。每位患者在术前一天及手术当天上午进行行走和康复锻炼。术中对侧小腿进行间歇性挤压，术后进行双侧搏动性小腿压迫。在恢复室给予阿司匹林，并持续每天两次，每次600毫克，直至出院。术后预期进行早期活动和行走。未进行常规的深静脉血栓形成筛查试验。这些患者中均未观察到具有生理意义的术后静脉血栓形成。对临床上怀疑有血栓栓塞性疾病问题的8例患者进行了多普勒检查，2例患者进行了静脉造影，2例患者进行了V/Q肺扫描。除一次V/Q扫描外，所有这些检查均为阴性。
