Hem E, Steen O, Opjordsmoen S
Department of Behavioural Sciences in Medicine, Faculty of Medicine, University of Oslo, Norway.
Acta Psychiatr Scand. 2001 Jan;103(1):73-5; discussion 75-6. doi: 10.1034/j.1600-0447.2001.00082.x.
Physical restraint is controversial, but still frequently used in psychiatric units. We describe two cases of thromboembolic phenomena, one with a fatal outcome, in association with physical restraint.
The world literature on physical restraint and thrombosis was reviewed by undertaking a search of electronic databases.
To our knowledge, we are the first to report thrombosis associated with physical restraint.
Immobilization and trauma to the legs while restraining a patient are adequate explanations for the occurrence of thrombosis. Special attention should be paid to thrombosis when employing restraints in psychiatric wards. Further systematic research into physical restraints in psychiatry is clearly needed.
身体约束存在争议，但仍常在精神科病房中频繁使用。我们描述了两例与身体约束相关的血栓栓塞现象，其中一例导致死亡。
通过检索电子数据库对关于身体约束与血栓形成的世界文献进行了综述。
据我们所知，我们是首个报告与身体约束相关的血栓形成的。
约束患者时腿部的固定和创伤足以解释血栓形成的发生。在精神科病房使用约束措施时应特别注意血栓形成。显然需要对精神科的身体约束进行进一步的系统研究。
