Sue L P, Davis J W, Parks S N
Department of Surgery, University of California, San Francisco/ Fresno, Valley Medical Center 93702, USA.
J Trauma. 1995 Oct;39(4):693-5. doi: 10.1097/00005373-199510000-00014.
Prophylactic placement of vena caval filters is recommended in trauma patients at high risk for pulmonary embolism (PE). We present a group of patients with iliofemoral venous trauma, and subsequent complications of deep venous thrombosis (DVT) and PE. Of twelve patients with iliac or common femoral venous injuries, seven underwent primary repair. All received DVT/ PE prophylaxis with mini-dose heparin and/or sequential compression hose. In spite of this, two patients suffered DVT, one patient had DVT and PE and one patient had clinical evidence of PE but did not undergo confirmatory testing. Three patients underwent prophylactic caval filter placement without complication. The DVT/PE complication rate in this small group was at least 43% (3 of 7). Patients with repaired iliofemoral venous injuries represent a high risk subset for DVT/PE and prophylactic caval filter placement is recommended.
对于有肺栓塞（PE）高风险的创伤患者，建议预防性放置下腔静脉滤器。我们报告一组患有髂股静脉创伤以及随后发生深静脉血栓形成（DVT）和PE并发症的患者。在12例髂静脉或股总静脉损伤患者中，7例接受了一期修复。所有患者均接受小剂量肝素和/或序贯加压弹力袜进行DVT/PE预防。尽管如此，仍有2例患者发生DVT，1例患者发生DVT和PE，1例患者有PE的临床证据但未进行确诊检查。3例患者接受了预防性下腔静脉滤器置入，无并发症发生。在这个小群体中，DVT/PE并发症发生率至少为43%（7例中的3例）。髂股静脉损伤修复患者是DVT/PE的高风险亚组，建议预防性放置下腔静脉滤器。
