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Warfarin therapy of 27 cases of deep venous thrombosis Observation


Metal body of the fixture should not be long-term stay,[link widoczny dla zalogowanych], increased need to remove the pain of surgery again. Patellar cerclage with silk thread, suture fixation of patellar fascia tensile stress and compressive stress using the relationship. Flexion with plaster half l6O. ~ 175. Fixed 46 weeks. Comminuted patella fracture healed also reserves the patella, joint function recovered well and effective. I will use 1987 to 2009 cerclage patella, patellar fascia pieces of suture fixation of comminuted patella fractures in 48 cases report are as follows: 1 Data and Methods 11 General information collected from 1987 to 2009 cerclage patella, patellar fascia joint contract before the scheduled the treatment of comminuted pieces of patellar fracture 48 cases with l987 before and after the follow-up data over the whole of comminuted patellar fracture in the same setting,[link widoczny dla zalogowanych], moving paste external fixation 26 patients were treatment group and control group 48 patients, of which 31 males and females l7 example: Age 19 to 72 years. An average of 40 years; operation time after injury, 7h-6d. 26 patients in control group. Among them, 19 males and 7 females down: Age 2O ~ 66 years, mean 39 years: The operating time is 1 ~ 7d1.2 after injury rule '; called on surgical methods 1.2.1 Methods: A before the arc within the patella incision, full retention fascia to expose the fracture line. Cleaning, washing and intra-articular fracture face blood clots, keeping patellar fascia. Prevent bone separation. The anatomical bone, or patella with a towel clamp reset the device control. No. l0 take absorbable suture silk or rough along the margin of the patella pouch suture ring, so that overall fixed patella. Then along the fracture line will patellar fascia interrupted suture. Sutured at both ends of the fracture line is particularly important. Sewed up both ends of the fracture line and the knee joint capsule tear, prevents the side of the block and around the fracture displacement. Appropriate run-articular surface of knee flexion, no unusual activity observed fracture gap and external thread tension of the set plaster to determine the best angle position. Usually in the 160. ~ 175. Between. Repair patellar tendon, quadriceps aponeurosis expansion. Plaster 1.2.2 fixed after the brake with 4 to 6 weeks later with a plaster appropriate activities. 7 weeks or so to remove plaster external fixation, where possible, the seat or foot bamboo roller bottles of knee flexion exercise activities. To the adoption of molding, so that the bones of joint recovery agreement to facilitate the recovery of knee function. 1.3 excellent knee function follow-up evaluation criteria: no pain, knee flexion extension to the contralateral normal knee function. Good: No pain or occasional knee pain, knee function was normal extension, flexion dysfunction 10. Less than grumble and dynamic normal force can be: occasional knee pain, drawing, many patients surgery is not easy to accept, Xin to make more use of anticoagulation as the preferred method of treatment for the coumarins warfarin anticoagulants 1, the known role mechanism is the inhibition of vitamin K epoxide in the liver by the conversion to the hydroquinone type, the anticoagulant must be exhausted before the original Gang of coagulation function. Looking at the results from the treatment of warfarin therapy for longer, 3-6 door effect is more clear, but more than 6 months and can not increase the effect observed by this group of patients, overall response rate was 74%,[link widoczny dla zalogowanych], only l patient had nasal bleeding, compared with Sun Yi-hong [51 reported lower bleeding rate was 7.11%, which may be a small sample size in this group,[link widoczny dla zalogowanych], low dose, INR 1.5-3.0 strict control on the author's experience is: ① fully informed of the patients or family illness. To understand the prognosis and treatment purposes,[link widoczny dla zalogowanych], informed consent. ② the formation of deep vein thrombosis for patients at high risk of early prevention of lower extremity venous ultrasound examination on a regular basis. ⑧ strict control of warfarin dose. Controlled by routine testing INR of 1.5 to 3.0. ④ disappear or dissolve blood clots may be caused by direct effect of warfarin, indicating that warfarin may exist other mechanisms still need to further study into the .... In summary, warfarin treatment of deep venous thrombosis should master dose. Under the premise of good control of INR, is safe to make effective and less side effects and is worthy of promotion. 【
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