Gray D H, Mackie C E
Aust N Z J Surg. 1983 Oct;53(5):439-43. doi: 10.1111/j.1445-2197.1983.tb02481.x.
The incidence of postoperative deep vein thrombosis in 120 patients undergoing elective total hip replacement was determined venographically. Significantly more blood was administered to those developing thrombosis, particularly in the subgroups given general anaesthesia (P less than 0.05). There were no differences in the postoperative haemoglobin values in any of these groups. The distribution of other risk factors identified, namely previous thrombo-embolism, malignancy and previous vein surgery or injections did not influence this finding. The use of TED stockings (Kendall) was effective. It is suggested that greater emphasis should be placed on techniques that reduce blood loss such as regional anaesthesia and the posterior approach to the hip. Further research into the fluids used for blood volume maintenance will be beneficial.
通过静脉造影术确定了120例行择期全髋关节置换术患者术后深静脉血栓形成的发生率。血栓形成患者输注的血量明显更多，尤其是在接受全身麻醉的亚组中（P<0.05）。这些组中术后血红蛋白值没有差异。所确定的其他危险因素，即既往血栓栓塞、恶性肿瘤以及既往静脉手术或注射史，均未影响这一结果。使用TED弹力袜（肯德尔公司生产）是有效的。建议应更加重视减少失血的技术，如区域麻醉和髋关节后入路。对用于维持血容量的液体进行进一步研究将是有益的。
