中国・四国整形外科学会雑誌
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
原著
人工関節置換術後の静脈血栓塞栓症についての検討
中島 大介峯 孝友伊原 公一郎桑原 嘉一
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ジャーナル 認証あり

2010 年 22 巻 2 号 p. 333-336

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Deep venous thrombosis (DVT) is one complication that is likely to occur after total knee arthroplasty (TKA) and total hip arthroplasty (THA). Its importance as a life-threatening complication is now widely recognized, and the need for countermeasures to prevent VTE has been emphasized. Here we reported the incidence of DVT using ultrasonography, D-dimer and the heparin-induced thrombocytopenia (HIT) antibody measurement in 47 patients undergoing TKA and THA.
The incidence of DVT was 14.9% in this series, and all cases involved TKA.
Postoperative D-dimer value was related to the period of Enokisaparin administration. The detection rate of HIT antibody was 19.1%. In all cases, there was no notable decrease in the platelet count.
It was possible to prevent DVT to some degree in this series. However, it is necessary to be aware that administration of Enokisaparin can induce thrombocytopenia.
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