Primary Prevention of Deep Vein Thrombosis in Emergency Surgical Patients

摘要

The study included the incidence of deep vein thrombosis (DVT) in 145 emergency surgical patients with a high risk for DVT occurrence. Immediately prior to emergency surgery in all patients there were placed the leg elastic stockings and patients were randomly divided into 4 groups: HG (low doses of standard heparin), LG (low molecular weight heparin), AG (dipiridamol + aspirin) and CG (placebo). By duplex scanning DVT was discovered in 15 (10.3 %) emergency patients with high risk od DVT: 1 (2.3%) LG, 1 (3.0%) HG, 5 (13.9%) AG and 8 (25.0%) CG. The differences found between HG and CG were significant but there was not significantly differences between LG and HG. The use of just elastic stocking or elastic stocing combined with antiagregations are inandequate method in prophilaxis DVT in emergency surgical patients. Deep vein thrombosis (DVT) and thromboembolic complications represent one of the leading causes of morbidity and mortality, either of surgical or medical patients. It may be considered that the frequency of vein thromboembolism of emergency surgical patients is at least as in general surgical patients, so that prophylaxis application is indicated.