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KMID : 0904020040200010106
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Journal of Korean Society for Vascular Surgery
2004 Volume.20 No. 1 p.106 ~ p.110
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Deep Vein Thrombosis at Lower Extremities in Severe Burn Patients
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최규성/Choi GS
우시욱/김도헌/허 준/전 욱/강희준/윤대근/전성은/박성길/이재정
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Abstract
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Purpose: In major burns, deep vein thrombosis (DVT) is frequently diagnosed as a major complication of burns. But the risk factors and prophylaxis remain controversial. This study was designed to evaluate the incidence and risk factors of DVT in major burn patients.
Method: We reviewed all major burn patients (＞40% of TBSA) admitted to our burn center from June 1998 to August 2003 and assessed each affected patients with an in-hospital diagnosis of DVT for DVT risk factors.
Result: There were 9 symptomatic DVT detected among 606 severe burn patients (1.45% incidence). Patients diagnosed with DVT had no risk factors of morbid obesity, previous DVT, congestive heart failure or neoplastic disease, except one patient who had a polycythemia vera diagnosed incidentally. In eight of 9 patients, DVT occurred in veins draining burned extremities. All patients had burn wound infections as a complication of burns. Eight of 9 patients had longer hospital stays than patients without DVTs. In all patients, DVT was developed after operations for skin graft.
Conclusion: DVT should be suspected in patients with delayed wound healing and unresolved edema of extrimites. Wound infection, long bed-ridden state and operations are significant risk factors for DVT formation in major burn patients.
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