Heymans O, Lemaire V, Nélissen X, Verhelle N, Jacquemin D, Jacob E
Service de Chirurgie plastique et maxillo-faciale, Université de Liège.
Rev Med Liege. 2002 Sep;57(9):587-90.
Association between deep venous thrombosis (DVT) and pulmonary embolism is probably an underestimated problem in the thermally injured patients. However, those patients display important risk factors according to Virchow's triad. This article reports on three unrecognised DVT's accompanying burns which were characterized by absence of healing or edema. The pathophysiology of this issue is then discussed with respect to the specific area of the thermally injured patient. It is our belief that local inflammatory phenomenon play a major part in the genesis of DVT associated with chronic non-healing burns.
深静脉血栓形成(DVT)与肺栓塞之间的关联在热损伤患者中可能是一个被低估的问题。然而,根据Virchow三联征,这些患者表现出重要的危险因素。本文报告了三例未被识别的伴有烧伤的深静脉血栓形成,其特征为伤口不愈合或水肿。随后针对热损伤患者的特定领域探讨了该问题的病理生理学。我们认为局部炎症现象在与慢性不愈合烧伤相关的深静脉血栓形成的发生中起主要作用。