膝关节镜人工缺血引起的代谢变化。

Sbornik lekarsky Pub Date : 2002-01-01

K Kudrna, P Konír, Z Krska, J Kvasnicka

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引用次数: 0

摘要

膝关节镜检查最重要的并发症是深静脉血栓。我们研究了53例人工下肢缺血行关节镜检查的患者。我们检查了一些生化和血液学数据，如乳酸、APTT、INR、PAI-1等。在我们的收集中，我们没有发现任何血栓栓塞性疾病的病例。由此可见，人工下肢缺血的关节镜手术并不会增加深静脉血栓的发生风险。我们的意思是，特别是在止血带时间较长(超过30分钟)的情况下，当我们给予某种类型的肝素(最好是低分子肝素)预防DVT时效果更好，因为在实验室结果中我们发现PAI-1明显增加。这有可能是由血栓上升引起的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[Metabolic changes caused by artificial ischemia in knee arthroscopy].

The most important complication of arthroscopy of the knee is DVT. We studied 53 patients who undergoing arthroscopy with artificial ischemia of lower limb. We examined some biochemics and haematological dates, for example lactate, APTT, INR, PAI-1 etc. In our collection we did not find any case of thromboembolic disease. It seems, that arthroscopy operation with artificial ischemia of lower limb do not increase the risks of DVT. We means, that especially in cases with longer tourniquet time (more than 30 min) is better, when we give some type of Heparin (best is LMWH) as prevention of DVT, because in laboratory results we found significant increase of PAI-1. It is possible, that it can be caused by the rising thrombus.

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Sbornik lekarsky

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