低剂量肝素注射部位对腹股沟疝修补术后伤口并发症发生率的影响。
Influence of injection site for low-dose heparin on wound complication rates after inguinal hernia repair.
作者信息
Wright D M, O'Dwyer P J, Paterson C R
机构信息
University Department of Surgery, Western Infirmary, Glasgow.
出版信息
Ann R Coll Surg Engl. 1998 Jan;80(1):58-60.
A high incidence of complications related to bleeding was observed after open prosthetic inguinal hernia repair. The site of injection of low-dose heparin into the abdominal wall was thought to be a possible causal factor for these complications. The wound complication rate after repair of primary unilateral inguinal hernias was recorded for 51 patients who had been given abdominal wall injections of heparin. Subsequently the injection site was changed to the upper limb in a further 63 patients and the incidence of wound complications recorded. A significantly higher incidence of haematomas and seromas was found in the abdominal wall injection group (39.2% vs 17.5%, P = 0.01). The role of low-dose heparin prophylaxis in inguinal hernia repair is discussed. We conclude that in those patients receiving heparin prophylaxis the injections should be given at a site remote from the operative area.
开放性人工腹股沟疝修补术后观察到与出血相关的并发症发生率较高。腹壁注射低剂量肝素的部位被认为是这些并发症的一个可能病因。记录了51例接受腹壁肝素注射患者的原发性单侧腹股沟疝修补术后伤口并发症发生率。随后，另外63例患者的注射部位改为上肢，并记录伤口并发症发生率。腹壁注射组血肿和血清肿的发生率明显更高（39.2%对17.5%，P = 0.01）。讨论了低剂量肝素预防在腹股沟疝修补术中的作用。我们得出结论，对于接受肝素预防的患者，注射应在远离手术区域的部位进行。
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