The Changes and Clinical Significant of Perioperative Blood Coagulation in Elderly Patients with Hip Fractures

Objective To observe the perioperative coagulation and platelet in elderly patients with hip fractures,and explore the perioperative changes of coagulation and platelet in the law and its possible influencing factors.Methods 38 cases with hip fractures were tested on preoperative and postoperative 1,3,5,7 day all items of blood coagulation,platelet count.Results The postoperative blood coagulation of 38 cases with hip fracture increased to varying degrees.All patients postoperative 1,3,5 day of the prothrombin time,thrombin time and activated partial thromboplastin time were extended,the difference had statistically significantP0.05;fibrinogen principle in postoperative 3 day rise to the highest points,the difference was statistically significant P0.01.Platelet count decreased significantly compared with the preoperative.Postoperative 1 day of the platelet count was the lowest,the difference was statistically significant P0.01.Conclusion Due to the special anatomy,trauma,surgery,blood loss and so stimulated elderly patients with hip fracture during perioperative period.Led blood coagulation into hyper-coagulation,patients were in the postoperative hypercoagulable state.