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目的:探讨创伤后下肢深静脉血栓形成(deep venous thrombosis,DVT)的临床特点与治疗方法;方法:回顾性分析2001年1月--2005年1月49例(年龄33-72岁,平均53岁)创伤后下肢深静脉血栓形成患者临床资料;结果:全组损伤严重度评分(ISS)为19.54±9.65.下肢无创伤组27例,手术取栓7例,死亡1例,溶栓治疗20例;随访16例(1～5年),症状复发率分别为12.5%、30%、37.5%、33.3%、40%。下肢有创伤组22例,2例因股静脉损伤行手术治疗,溶栓治疗20例;随访15例(1～5年),症状复发率分别为6.7%、14.3%、15.4%、18.2%、25%。结论:创伤后下肢深静脉血栓形成多见于严重创伤患者,应按有无下肢合并伤分为二种类型,合并下肢损伤者溶栓治疗效果良好;及早诊断是挽救肢体、减少远期并发症的关键。
Objective: To investigate the clinical characteristics and treatment of deep venous thrombosis (DVT) after trauma.Methods: A retrospective analysis of 49 patients (aged 33-72 years, mean 53 Year old), the clinical data of patients with post-traumatic lower extremity deep venous thrombosis were analyzed. Results: The severity of injury severity score (ISS) was 19.54 ± 9.65. There were 27 cases of lower extremity noninvasive group, 7 cases of surgical thrombectomy, 1 died, thrombolytic therapy 20 Cases; follow-up of 16 cases (1-5 years), the recurrence rates were 12.5%, 30%, 37.5%, 33.3%, 40%. There were 22 cases of lower extremity trauma group and 2 cases of thrombolytic therapy because of femoral vein injury. Twenty cases were followed up for 15 cases (1-5 years), the recurrence rates were 6.7%, 14.3%, 15.4%, 18.2% 25%. Conclusion: Post-traumatic deep venous thrombosis of lower extremities is more common in patients with severe trauma. There should be two types of lower extremity combined injuries, and thrombolytic therapy with lower extremity injuries is effective. Early diagnosis is to save limbs and reduce long-term complications The essential.