Zagrodnick J, Kaufner H K
Unfallchirurgische Klinik, Landkrankenhaus Coburg.
Unfallchirurg. 1990 Jul;93(7):331-3.
In a retrospective and prospective study, 303 patients with fractures of the ankle joint treated surgically with postoperative immobilization in a plaster cast were analysed. After the introduction of thromboembolism prophylaxis with heparin for all outpatients immobilized by plaster casts the incidence of thromboembolic complications decreased significantly, from 4.5% to zero. The prophylaxis was well accepted, about 90% of the subcutaneous injections being administered by the patients themselves or family members. No serious complications were seen. Therefore, this effective prophylaxis of thromboembolism should be practised in all outpatients with a plaster cast on the lower limb and an elevated risk of thromboembolism. A simple check-up to identify patients at risk is suggested.
在一项回顾性和前瞻性研究中，对303例踝关节骨折患者进行了分析，这些患者均接受了手术治疗，并在术后用石膏固定。在对所有用石膏固定的门诊患者采用肝素预防血栓栓塞后，血栓栓塞并发症的发生率显著降低，从4.5%降至零。这种预防方法很容易被接受，约90%的皮下注射由患者本人或其家庭成员进行。未观察到严重并发症。因此，对于所有下肢用石膏固定且血栓栓塞风险较高的门诊患者，均应采用这种有效的血栓栓塞预防措施。建议进行简单的检查以识别有风险的患者。
