U.S. Army Institute of Surgical Research, Fort Sam Houston, Texas, USA.
Transfusion. 2009 Dec;49 Suppl 5:256S-63S. doi: 10.1111/j.1537-2995.2008.01989.x.
Some studies have reported an increased incidence of thromboembolic complications following trauma.
We performed a literature review and queried the National Trauma Data Bank to more closely examine the incidence of a variety of thromboembolic complications following injury.
Thromboembolic events are rare, but occur at a greater rate in more severely injured patients. It is unclear, however, whether the incidence of thromboembolic complications in trauma patients is on the rise overall. Differences in study populations, particularly injury severity scores, as well as different methods of screening, diagnosis, prophylaxis, and treatment have led to extreme differences in reported rates.
While recent research has added to the body of knowledge, continued efforts focusing on risk stratification, diagnosis, screening, prophylaxis, and treatment are necessary to rationally understand the spectrum of thrombotic complications.
一些研究报告称，创伤后血栓栓塞并发症的发生率增加。
我们进行了文献回顾，并查询了国家创伤数据库，以更仔细地检查损伤后各种血栓栓塞并发症的发生率。
血栓栓塞事件较为罕见，但在伤势更严重的患者中发生率更高。然而，目前尚不清楚创伤患者的血栓栓塞并发症发生率总体上是否呈上升趋势。研究人群的差异，特别是损伤严重程度评分，以及筛查、诊断、预防和治疗的不同方法，导致报告的发生率存在极大差异。
尽管最近的研究增加了知识体系，但仍需要继续努力，侧重于风险分层、诊断、筛查、预防和治疗，以合理了解血栓并发症的范围。
