[Prevention of thrombosis with low molecular weight heparin in ambulatory patients with injury of the lower extremity: an ultrasound study].
The aim of the study was to evaluate the risk of thrombo-embolism in outpatients with traumatic injuries of the lower limb, which are immobilised by plaster cast. 204 patients were randomly divided into 2 groups. Group I (99 pat.) got a daily injection of a low molecular weight heparin. In group II (105 pat.) no prophylaxis was done. The diagnosis of deep venous thrombosis (DVT) was carried out by compression sonography. A total of 24 patients developed DTV: In group 16 patients (6.1%), in group II 18 (17.1%) (p less than 0.05). In patients with fractures in group I (22 pat.) 4 DVT (14.8%) occurred and in group II (35 pat.) 10 (28.6%), respectively. The median age of all the patients was 34.7 years and relatively low. A general prophylaxis in all outpatients having traumatic injuries of the lown limb with immobilisation by cast is recommended.
Habscheid
W
W
Med. und Chir. Univ. Klinik, Würzburg.
Spannagel
U
U
Kujath
P
P
Schindler
G
G
D000328:Adult; D001510:Bed Rest; D002370:Casts, Surgical; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage*; D006801:Humans; D007869:Leg Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D013924:Thrombophlebitis / Q000000981:diagnostic imaging / Q000517:prevention & control*; D014463:Ultrasonography
D006495:Heparin, Low-Molecular-Weight
Thromboseprophylaxe mit niedermolekularem Heparin bei ambulanten Patienten mit Verletzung der unteren Extremität: Eine sonographische Studie.