Screening for deep-venous thrombosis after hip and knee replacement without prophylaxis
Screening for deep-venous thrombosis after hip and knee replacement without prophylaxis
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DOI：
10.1302/0301-620x.79b5.7627
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发表时间：
1997-09-01
影响因子：
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通讯作者：
Gregg, PJ
中科院分区：
文献类型：
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作者：
Clarke, MT;Green, JS;Gregg, PJ
我们连续对252例全关节置换术患者进行了术后常规静脉造影，这些患者没有使用任何形式的常规化学或机械预防措施。深静脉血栓形成（DVT）的患病率为32%全髋关节置换术后为66%（远端16%，近端16%），全膝关节置换术后为66%（远端50%，近端16%）（p < 0.001）。我们没有治疗远端DVT。在手术后三个月内只有两例因血栓栓塞性疾病再次入院。在此期间有两例死亡，均不是由于肺栓塞。
We performed routine venography after operation in a consecutive series of 252 patients with total joint arthroplasties in whom no form of routine chemical or mechanical prophylaxis had been used.The prevalence of deep-vein thrombosis (DVT) was 32% (16% distal, 16% proximal) after total hip replacement and 66% (50% distal, 16% proximal) after total knee replacement (p < 0.001). We did not treat distal DVT. There were only two readmissions within three months of surgery because of thromboembolic disease. There were two deaths within this period, neither of which was due to pulmonary embolism.