CAJ | 학술논문

目的：探讨上肢创伤骨折并发深静脉血栓（DV T ）的临床特征，为其防治提供参考。方法在2008年1月至2012年12月解放军324医院住院病案资料库中检索上肢创伤骨折共2368例。其中并发上肢DV T患者18例，对18例上肢创伤合并DV T患者的临床特征、诊断及治疗情况进行回顾性分析。结果上肢创伤骨折合并DV T患者主要临床表现：患肢疼痛、单侧患肢肿胀、皮温升高、患肢皮肤呈紫红色。18例患者中血清D-二聚体水平增高16例，经上肢血管彩色多普勒超声检查发现血栓位于肱静脉9例，腋静脉3例，腋静脉至肱静脉4例，锁骨下静脉至肱静脉2例。该类患者多合并糖尿病、高血脂等基础疾病，且多为肱骨以上骨折、粉碎性骨折、多处骨折。18例患者中经溶栓治疗16例，14例溶栓成功。结论了解上肢创伤骨折并发DV T 患者的临床特征，对其防治具有重要的指导意义，对该类患者应及时发现，进行早期溶栓治疗。
목적：탐토상지창상골절병발심정맥혈전（DV T ）적림상특정，위기방치제공삼고。방법재2008년1월지2012년12월해방군324의원주원병안자료고중검색상지창상골절공2368례。기중병발상지DV T환자18례，대18례상지창상합병DV T환자적림상특정、진단급치료정황진행회고성분석。결과상지창상골절합병DV T환자주요림상표현：환지동통、단측환지종창、피온승고、환지피부정자홍색。18례환자중혈청D-이취체수평증고16례，경상지혈관채색다보륵초성검사발현혈전위우굉정맥9례，액정맥3례，액정맥지굉정맥4례，쇄골하정맥지굉정맥2례。해류환자다합병당뇨병、고혈지등기출질병，차다위굉골이상골절、분쇄성골절、다처골절。18례환자중경용전치료16례，14례용전성공。결론료해상지창상골절병발DV T 환자적림상특정，대기방치구유중요적지도의의，대해류환자응급시발현，진행조기용전치료。
Objective To explore the clinical characters of upper limb trauma fracture complicated with deep vein thrombosis(DVT ) and provide references for the prevention and treatment .Methods The clinical characters ,di-agnosis ,and treatment of 18 patients with upper limb trauma fractures complicated with DVT were analyzed retro-spectively .Results The clinical manifestation was pain ,swelling ,skin temperature elevated ,and prunosus skin .There were 16 patients with increased levels of D-dimer .There were 9 patients with thrombosis located in brachial vein ,3 patients in axillary vein ,4 patients in axillary vein to brachial vein ,and 2 in subclavian vein to brachial vein deter-mined by color Doppler ultrasonography .Most of these patients were complicated with underlying diseases such as di-abetes ,hyperlipemia ,etc .Most of them were fractures above of humerus ,thrypsis and multiple fractures .Sixteen pa-tients were treated by thrombolysis and 14 patients were succeeded .Conclusion It is an instruction for the preven-tion and treatment of upper limb trauma fracture complicated with DVT to get their clinical characters .The patients should be discovered in time and arranged throbothysis in early time .