Bosch U, Reilmann H, Sturm J, Kleemann W J, Windus G
Unfallchirurgische Klinik, Medizinische Hochschule Hannover.
Langenbecks Arch Chir. 1988;373(4):214-6. doi: 10.1007/BF01261811.
The risk of thrombo-embolic complications in multiple injured patients is increased due to several pathophysiological factors. The purpose of this study was to analyse the effect of a continuous IV heparin prophylaxis (10000IE/24h) in polytraumatized patients. A post-mortem evaluation of 72 decreased patients out of 373 multiple trauma patients treated during 1984-1985 was performed. In one patient multiple major pulmonary emboli were found to contribute to his death. No deep vein thrombosis as well as no fulminant pulmonary embolism were found in any case.
由于多种病理生理因素，多发伤患者发生血栓栓塞并发症的风险增加。本研究的目的是分析持续静脉注射肝素预防（10000国际单位/24小时）对多发伤患者的影响。对1984年至1985年期间治疗的373例多发伤患者中的72例死亡患者进行了尸检评估。在1例患者中发现多处严重肺栓塞是其死亡原因。在任何病例中均未发现深静脉血栓形成以及暴发性肺栓塞。
