髋后骨折患者术前深静脉血栓的发生率

Dost Mohammad Sohu, R. Muhammad, Suresh Kumar, H. Ghumro, Z. Soomro, Kashif Ali Shaikh, Aijaz Ali Maitlo, Fazallullah Mahar
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摘要

目的:了解髋后骨折患者术前深静脉血栓的发生率。研究设计:前瞻性研究地点和研究时间:卡拉奇真纳研究生医学中心骨科,2019年1月1日至2021年12月31日。方法:对100例髋部骨折患者的深静脉血栓发生率进行分析。采用超声、计算机地形和静脉造影三种检查方法进行确认。在确认深静脉血栓形成的情况下,确保植入下腔静脉过滤器。结果:7例患者有深静脉血栓形成的临床表现,其余93%患者髋部骨折无深静脉血栓形成的临床表现。术后72小时就诊的患者术前深静脉血栓的发生率明显高于术后72小时就诊的患者,其中70 ~ 79岁的患者深静脉血栓发生率最高。结论:髋部骨折术前发生深静脉血栓的发生率较低,仅为7%。关键词:发病率,深静脉血栓形成,髋后骨折
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Incidence of Pre-Operative Deep Vein Thrombosis in Patients with Post-Hip Fractures
Objective: To estimate the incidence of pre-operative deep vein thrombosis in patients with post-hip fractures. Study Design: Prospective study Place and Duration of Study: Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Centre, Karachi from 1st January 2019 to 31st December 2021. Methodology: One hundred cases hip fractures which were analyzed for incidence of deep vein thrombosis. Three types of tests were used for confirmation including ultrasonography, computed topography and the venography. In cases where identification of deep vein thrombosis was confirmed the implantation of inferior vena cava filters was ensured. Results: There were seven such cases that were having deep vein thrombosis presentation in them while rest of 93% did not have any clinical presentation for deep vein thrombosis with their hip fracture. The incidence of the pre operative deep vein thrombosis was significantly higher in cases that were brought after 72 hours deep vein thrombosis was highest in cases that were within the age bracket of 70-79 years. Conclusion: A lower incidence as 7% of deep vein thrombosis occurs in pre operative cases of hip fracture. Keywords: Incidence, Deep vein thrombosis, Post-hip fracture
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