[Systematic preoperative phlebography in patients with leg injuries, surgically treated after a delay].
Post-traumatic preoperative deep vein thrombosis (DVT) was studied by routine bilateral venography in 98 orthopaedic patients admitted more than 48 h (mean: 7 days) after the limb trauma, who had not been given prophylactic anticoagulation. All these patients had undergone long distance travel under medical supervision, having been injured a long way from the medical centre. Ages ranged from 15 to 77 years (mean age: 38 years). 85 patients had been previously free of any of the usual risk factors for DVT. Routine venography showed up DVT in 39 patients (40%). Four DVT were bilateral; only seven were symptomatic. When DVT was proved, heparin treatment by infusion pump was given for 15 days before surgery was performed.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care; D013923:Thromboembolism / Q000517:prevention & control*; D013924:Thrombophlebitis / Q000000981:diagnostic imaging* / Q000209:etiology
Phlébographie préopératoire systématique chez les traumatisés des membres inférieurs opérés tardivement.