骨折患者术后凝血功能变化及早期深静脉血栓临床诊治

Change of postoperative blood coagulation function and clinical diagnosis and treatment for early deep venous thrombosis in patients with fracture

  • 摘要: 目的 探讨骨折患者术后凝血功能变化以及早期深静脉血栓的临床诊治.方法 选择80例骨折术后患者,分为对照组和观察组各40例,检测2组患者术前以及术后1、3、5及7天的凝血功能指标变化和血小板计数.结果 所有患者术后第1、3、5及7天的PT、TT以及APTT显著增加(P<0.05).患者术后的PLT指标显著降低(P<0.05).治疗后,观察组患者凝血功能各项指标显著下降(P<0.05).结论 骨折患者术后由于麻醉等原因导致静脉舒张和血液高凝的状态.

     

    Abstract: Objective To explore the change of blood coagulation function and the clinical diagnosis and treatment for early deep venous thrombosis in patients with fracture after operation.Methods A total of 80 fracture patients were divided into control group and observation group,40 cases in each group.Blood coagulation indexes and platelet count before and 1,3,5 and 7 days after the operation were compared between two groups.Results The PT,TT,and APFT increased significantly at 1,3,5 and 7 days after surgery in all the patients (P < 0.05).After operation,the PLT decreased significantly (P < 0.05).After treatment,the indexes of blood coagulation function in the observation group significantly decreased (P < 0.05).Conclusion After the operation,the patients with fracture had venous relaxation and high blood coagulation status caused by anesthesia and other reasons.

     

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