颅脑损伤患者深静脉血栓形成的危险因素分析及预防方法
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Analysis the risk factors for deep vein thrombosis in patients with traumatic brain injury
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    摘要:

    目的 探讨颅脑损伤患者深静脉血栓(DVT)形成的高危因素及预防方法。方法 对362例颅脑损伤患者伤后每间隔10 d检查一次下肢血管彩超,发现DVT后给予及时治疗。对发生DVT与未发生DVT的患者进行年龄、疾病、卧床时间、性别等各因素的患病率进行对照分析。结果 362例患者发现DVT 48例,DVT患肢63侧,DVT患病率高血压者为 17.50%(28/160),无高血压者9.90%(20/202),年龄<60岁者10.71%(33/308),>60岁者27.78%(15/54),糖尿病者25.30%(21/83),无糖尿病者9.68%(27/279);瘫痪肢体22.92%(44/192),未瘫痪肢体3.57%(19/532),卧床≤10d时DVT患病率2.21%(8/362),≤20d时7.46%(17/228),≤30d时12.12%(24/198),≤40d时24.43%(32/131),≤50d时39.81%(43/108)。结论 颅脑损伤患者DVT的发生与年龄、血压、血糖、肢体活动度、卧床时间等密切相关,与性别关系不大。高龄、高血压史、糖尿病史、瘫痪肢体、卧床时间>10 d等均是形成DVT的高危因素,而且卧床时间越长,形成DVT的风险越大。

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    Objective To explore the risk factors for deep vein thrombosis in patients with traumatic brain injury.Methods 362 head injury patients were checked by vascular ultrasound in 10,20,30,40,50 days after injury, when DVT was diagnosed, they were treated immediately.The relevance of age, illness, time of lying, sex and the DVT was analyzed.Results 48 patients 63 legs had DVT.DVT incidence rate was 17.50%(28/160) in high blood pressure(HBP) patients,and 9.90% (20/202) in no HBP; 10.71%(33/308)in lower 60 years old patients, 27.78%(15/54)in higher 60 years old; 25.0%(21/83)in diabetes patients,9.68%(27/279) in no diabetes patients; 22.92%(44/192) in paralytic legs,3.57%(19/532) in no paralytic legs; 2.21%(8/362) in patients of lying in bed for 10 days,7.46%(17/228) for 20 days,12.12% (24/198)for 30 days,24.43%(32/131) for 40 days,39.1% (43/108)for 50 days.Conclusions DVT incidence rate in patients with TBI may be correlated with age, HBP, diabetes, leg activity, the time lying in bed.Eld, HBP,diabetes, paralytic leg, longer than 10 days lying in bed are all risk factors to generate DVT.

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姚天才, 赵东升, 徐恭达456.颅脑损伤患者深静脉血栓形成的危险因素分析及预防方法[J].国际神经病学神经外科学杂志,2011,38(1):5-8111Yao Tian-cai, Zhao dong-sheng, Xu Gond-da222. Analysis the risk factors for deep vein thrombosis in patients with traumatic brain injury[J]. Journal of International Neurology and Neurosurgery,2011,38(1):5-8

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  • 收稿日期:2010-11-12
  • 最后修改日期:2011-01-26
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  • 在线发布日期: 2011-02-28
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