[Prevention of XXXX in accident surgery--angiospastic complications with DHE-heparin. A multicenter study].

@entity1 @entity2553 @entity16 @entity1031
In immobilized @entity1 different drugs are used for @entity1031 prophylaxis. Arterial vasospastic complications have recently been reported after Heparin-DHE. In our clinical observation five of these cases were treated. A multicenter study was performed in 82 Austrian trauma units investigating the incidence and outcome of complications of Heparin DHE prophylaxis. 147,290 @entity1 had different drugs for @entity1031 prophylaxis. 61,092 got Heparin-DHE. Complications could be observed at 142 @entity1 but only in the group receiving Heparin DHE. 135 cases were treated conservatively (amputation of limbs became necessary in seven @entity1 ). In seven other cases immediate operative exposure of the vessels and balloon catheter dilatation was successfully performed. @entity2553 occurred only in @entity1 with Heparin DHE prophylaxis. It is important to realize this possibility, so that early therapeutic measurements can be taken to avoid unnecessary permanent @entity16 and limb amputation.
