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| Analysis of Risk Factors of Deep Vein Thrombosis in Patients with Rib Fracture and Other Fractures |
| PEI Yan-jiang, QI Bin |
| Honghui Hospital Affiliated to Xi'an Jiaotong University, Xi'an Shaanxi 710000 |
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Abstract 【Objective】 To explore the risk factors of deep vein thrombosis (DVT) in patients with rib fracture and other fractures. 【Methods】 A retrospective analysis was conducted on the clinical data of 283 patients with rib fractures combined with fractures in other parts. The patients were divided into two groups based on whether DVT occurred after surgery:the group with DVT and the group without DVT. We compared clinical data,surgical indicators,and laboratory indicators between two groups of patients,and used multivariate logistic regression to analyze the independent risk factors for postoperative DVT in patients. 【Results】 Out of 283 patients,105 (37.10%) developed DVT after surgery,with 1 patient complicated with acute pulmonary embolism and no deaths. There was no statistically significant difference between the two groups in terms of gender,chest comorbidities,comorbidities with internal medicine,and comorbidities with other injuries (P>0.05); Compared with the group without DVT,the group with DVT had older age,more rib fractures,bilateral rib fractures,and multiple site fractures (P<0.05). There was no statistically significant difference in intraoperative blood loss and whether intraoperative blood transfusion was performed between the two groups of patients (P>0.05),but the difference in surgical time between the two groups was statistically significant (P<0.05). Compared with the group without DVT,the group with DVT showed a decrease in hemoglobin content and prothrombin time,while the D-dimer content increased (P<0.05). Logistic multivariate regression analysis showed that the number of rib fractures,combined multiple site fractures,prothrombin time,and D-dimer content were independent risk factors for DVT in patients with rib fractures combined with other site fractures. 【Conclusion】 The high-risk factors for postoperative DVT in patients with rib fractures combined with other site fractures include the number of rib fractures,multiple site fractures,prothrombin time,and D-dimer content.
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Received: 23 August 2022
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2023, Vol. 40 
