身体约束后的深静脉血栓形成和肺栓塞
Deep venous thrombosis and pulmonary embolism following physical restraint.
作者信息
Laursen S B, Jensen T N, Bolwig T, Olsen N V
机构信息
University Clinic of Neuroanaesthesia, The Neuroscience Center, Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
出版信息
Acta Psychiatr Scand. 2005 Apr;111(4):324-7; discussion 327. doi: 10.1111/j.1600-0447.2004.00456.x.
OBJECTIVE
We describe a case of deep venous thrombosis (DVT) and pulmonary embolism (PE) following the use of physical restraint in a patient with a diagnosis of acute delusional psychotic disorder.
METHOD
A new case report of DVT and PE associated with prolonged physical restraint is presented. The literature on physical restraint, DVT, and PE was reviewed using a search of Medline and Psychinfo from 1966 to the present.
RESULTS
Four other reported cases of DVT and PE were found in association with physically restrained patients.
CONCLUSION
Risk of DVT and PE in association with immobilization during physical restraint may occur in spite of no pre-existing risk factors. Medical guidelines for the prevention of thrombosis following physical restraint are presented. Despite the absence of controlled trials of treatment effectiveness, the catastrophic outcome of DVT and PE warrants early and vigorous intervention in patients undergoing physical restraint.
目的
我们描述了一例诊断为急性妄想性精神障碍的患者在使用身体约束后发生深静脉血栓形成（DVT）和肺栓塞（PE）的病例。
方法
报告了一例与长期身体约束相关的DVT和PE新病例。通过检索1966年至今的Medline和Psychinfo数据库，对有关身体约束、DVT和PE的文献进行了综述。
结果
发现另外4例报告的DVT和PE病例与身体约束患者有关。
结论
尽管不存在预先存在的危险因素，但在身体约束期间因固定不动而发生DVT和PE的风险仍可能出现。提出了预防身体约束后血栓形成的医学指南。尽管缺乏关于治疗效果的对照试验，但DVT和PE的灾难性后果促使对接受身体约束的患者进行早期积极干预。
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