[1]向湘华,黄秋萍,黄阿勇.断指（肢）再植、游离皮瓣术后静脉血栓栓塞症3例[J].实用手外科杂志,2023,37(03):0.[doi:10.3969/j.issn.1671-2722.2023.03.012]
　XIANG Xianghua,HUANG Qiuping,HUANG Ayong,et al.The analysis of three cases of venous thromboembolism after reimplantation and flap surgery[J].Journal of Practical Hand Surgery,2023,37(03):0.[doi:10.3969/j.issn.1671-2722.2023.03.012]
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断指（肢）再植、游离皮瓣术后静脉血栓栓塞症3例
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《实用手外科杂志》[ISSN:1671-2722/CN:10-1336/R]

卷:
37
期数:
2023年03期
页码:
0
栏目:
出版日期:
2023-09-20

文章信息/Info

Title:
The analysis of three cases of venous thromboembolism after reimplantation and flap surgery
作者:
向湘华1;  黄秋萍2;  黄阿勇1
（1.泉州市正骨医院 手外科， 福建 泉州 362000；2.药剂科）
Author(s):
XIANG Xianghua;  HUANG Qiuping;  HUANG Ayong;  et al (Department of Hand Surgery;  Quanzhou Orthopedic-Traumatological Hospital of Fujian Province;  Quanzhou;  Fujian;  362000;  China)
关键词:
关键词： 股前外侧皮瓣;  再植;  游离皮瓣;  静脉血栓栓塞
DOI:
10.3969/j.issn.1671-2722.2023.03.012
摘要:
摘 要：目的 探讨断指（肢）再植、游离皮瓣术后发生静脉血栓栓塞症（Venous thromboembolism VTE）的原因及防治对策。方法 回顾性分析泉州市正骨医院手外科2020年10月-2022年1月收治的断指再植、断肢再植、游离皮瓣病例中发生静脉血栓栓塞的3例病例资料，其中断指再植1例、断肢再植1例、游离股前外侧皮瓣1例，分析发生静脉血栓栓塞的原因及防治方法。结果 断指再植患者发生左侧下肢深静脉血栓栓塞，抢救成功；断肢再植患者发生肺栓塞，抢救成功；游离股前外侧皮瓣患者发生下肢深静脉血栓栓塞及肺栓塞，抢救无效。结论 再植、皮瓣术后患者血液常呈现高凝状态，需要选择合适的抗凝药物及剂量进行抗凝治疗；绝对卧床患者需要指导床上功能训练、增加物理治疗及药物治疗以预防静脉血栓栓塞；股前外侧皮瓣供区不宜缝合过紧；断指（肢）体再植、皮瓣术后不宜外固定或固定时间不宜过长，固定期间需及时指导功能训练，尽量恢复患肢功能；股前外侧皮瓣等手术时间长者术前宜完善下肢动静脉彩超检查，明确患者既往史。

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更新日期/Last Update: 2023-09-20