Wattrisse G, Lecoutre D, Groux-Pante C, Mottet D
Service d'Anesthésie-Réanimation, Centre Hospitalier Victor-Provo, Roubaix.
Cah Anesthesiol. 1990 Nov;38(5):319-24.
A routine method of prophylaxis of thromboembolic disease is evaluated on 181 elderly patients undergoing post-traumatic hip surgery. A low incidence of proximal thrombosis and fatal embolism is noted and rated as a beneficial effect of the association of low molecular weight heparin therapy and moderate hemodilution; it is also connected with a precocious diagnosis of the thrombotic complications--before the proximal extension of silent thromboses--by the measurement of specific fibrin derivatives used as a screening technique in order to select the patients who will have to undergo venographical examination.
对181例接受创伤后髋关节手术的老年患者评估了一种预防血栓栓塞性疾病的常规方法。近端血栓形成和致命栓塞的发生率较低，这被认为是低分子量肝素治疗与适度血液稀释联合应用的有益效果；这还与血栓形成并发症的早期诊断有关——在无症状血栓近端扩展之前——通过测量用作筛查技术的特定纤维蛋白衍生物来选择需要接受静脉造影检查的患者。
