Department of orthopedics surgery and venous thromboembolism (VTE) – Sohu health

Department of orthopedics surgery and venous thromboembolism (VTE) – Sohu health Wang Zhihong, No.306 Hospital of PLA, vascular surgery VTE and Department of orthopedics? The concept of venous thromboembolism (VTE) in 1 patients with venous thromboembolism (VTE) refers to the abnormal coagulation of the blood in the vein, which may cause the vessel to be completely or incompletely obstructed. VTE includes two types: deep venous thrombosis (DVT) and pulmonary thromboembolism (PE). DVT can occur in all parts of the body vein, deep veins of the lower limbs are more common, in recent years, the incidence rate increased significantly. Deep venous thrombosis is the main source of pulmonary embolism thrombosis, prevention of lower limb DVT could reduce the risk of PE. PE is from the venous system or right heart thromboembolism of pulmonary artery or its branches, syndrome of pulmonary circulation and respiratory dysfunction as the main clinical and pathological features, is one of the important reasons for peri operative Department of orthopedics death. The 2 Department of orthopedics after operation VTE VTE Department of orthopedics operation is serious, such as total hip arthroplasty (THA) and total knee arthroplasty (TKA) surgery and hip fracture (HFS) common serious complication and effect after surgery, can lead to pulmonary embolism, bruises and deep vein thrombosis and other serious sequelae the adverse consequences, significantly affect the clinical outcome of patients with patients, is mainly due to operative death. According to the current literature, the incidence of VTE in the Department of orthopedics during perioperative period was as high as 40-80%, and the incidence of PE was up to 10%, and the incidence of fatal PE was 0.1%-5.0%, which was significantly higher than that of the general population. There is usually no precursor before severe PE, and the success rate of cardiopulmonary resuscitation is very low. The reason of high incidence of VTE 3 Department of orthopedics after operation 100 years ago was first described by Virchow in deep venous thrombosis three causes: vein injury, blood stasis and blood hypercoagulability, known as "Virchow s Triad. Patients with venous injury led to Department of orthopedics surgery and original trauma; after surgery, braking and bedridden patients with lower limb blood flow caused by blood stasis; fasting, surgery, anesthesia, hemostatic drugs, trauma bleeding, postoperative fever and causes blood hypercoagulable state. So Department of orthopedics surgery can cause all the causes of venous thrombosis, which is the fundamental reason for the high incidence of VTE after the Department of orthopedics surgery. If the patients complicated with other common VTE risk factors, including age, history of venous thromboembolism, obesity, paralysis, intraoperative tourniquet, malignant tumor, central venous catheter, chronic venous insufficiency, makes the VTE more in the Department of orthopedics after operation. The more risk factors, the greater the risk of venous thromboembolism. 4 Why do we see the Department of orthopedics VTE so little? The main symptoms of VTE are the following three aspects, let us examine why we see so many clinical department of orthopedics and VTE as reported in the literature: risk assessment of 5 patients in the Department of orthopedics of VTE patients in the Department of orthopedics because of VTE therapy相关的主题文章: