지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 197 - 201 (5page)
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초록· 키워드
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In Western patient populations, the reported incidence of imaging-demonstrated deep vein thrombosis (DVT) after total hip arthroplasty (THA) is as high as 70% without prophylaxis. The reported rates of symptomatic pulmonary embolism (PE) after THA in recent studies range from 0.6% to 1.5%, and the risk of fatal PE ranges from 0.11% to 0.19% in the absence of prophylaxis. Predisposing factors to DVT in western patients include advanced age, previous venous insufficiency, osteoarthritis, obesity, hyperlipidemia, dietary and genetic factors. However, Asian patients who have undergone THA have a strikingly low prevalence of DVT and virtually no postoperative PE. Some authors suggest low clinical prothrombotic risk factors and the absence of some DVTrelated genetic factors in Asian patient populations decrease the risk of DVT, PE or both. In Korea, the prevalence of DVT after THA without thromboprophylaxis have ranges from 6.8% to 43.8%, and asymptomatic PE have ranges from 0% to 12.9%; there have been only two reported cases of fatal PE. Deep-wound infections resulting from postoperative hematomas or prolonged wound drainage have been reported with routine thromboprophylaxis. The prevalence of DVT differs varies based on patient ethnicity. Guidelines for the use of thromboprophylaxis were altered and focus on the potential value of outcomes compared with possible complications (e.g., bleeding).
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등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Morris GK / 1974 / Prevention of deep-vein thrombosis by low-dose heparin in patients undergoing total hip replacement / Lancet 2:797~800
Fender D / 1997 / Mortality and fatal pulmonary embolism after primary total hip replacement. Results from a regional hip register / J Bone Joint Surg Br 79:896~899
Pellegrini VD Jr / 1996 / The John Charnley Award. Natural history of thromboembolic disease after total hip arthroplasty / Clin Orthop Relat Res (333):27~40
Park YS. / 2011 / Guideline for the prophylaxis of venous thromboembolism in hip surgery patients / J Korean Orthop Assoc 46:95~98
Westrich GH / 2002 / Correlation of thrombophilia and hypofibrinolysis with pulmonary embolism following total hip arthroplasty:an analysis of genetic factors / J Bone Joint Surg Am 84-A:2161~2167
Fender D / 1997 / Mortality and fatal pulmonary embolism after primary total hip replacement. Results from a regional hip register / J Bone Joint Surg Br 79:896~899
Pellegrini VD Jr / 1996 / The John Charnley Award. Natural history of thromboembolic disease after total hip arthroplasty / Clin Orthop Relat Res (333):27~40
Park YS. / 2011 / Guideline for the prophylaxis of venous thromboembolism in hip surgery patients / J Korean Orthop Assoc 46:95~98
Westrich GH / 2002 / Correlation of thrombophilia and hypofibrinolysis with pulmonary embolism following total hip arthroplasty:an analysis of genetic factors / J Bone Joint Surg Am 84-A:2161~2167
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