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胸外科血栓栓塞性疾病的预防性治疗(作者译)

[Preventive treatment of thromboembolic disease in thoracic surgery (author's transl)].

作者信息

Gaillard J, Plante J, Glovaez D, Henry E, Berthoumieu F, Eschapasse H

出版信息

Sem Hop. 1979;55(1-2):39-43.

PMID:218295
Abstract

The aim of the present work is twofold: 1) to find a simple method of diagnosing a genuine risk of post operative thromboembolic disease: the level of platellets and of fibrine, the cephaline-kaolin test, the thromboelastogram and the para-coagulation tests were not considered satisfactory by authors. Only the isotopic detection of venous thrombosis is able to confirm the value of a given preventive treatment; 2) to achieve an effective prevemtive treatment: the pre and post-operative heparin therapy (an adaptation of Kakkar's method) eliminates the clinical accidents, reduces the number of isotopic venous thrombosis, but might increase the incidence of hemorrage.

摘要

本研究的目的有两个

1)找到一种诊断术后血栓栓塞性疾病真正风险的简单方法:作者认为血小板和纤维蛋白水平、脑磷脂 - 高岭土试验、血栓弹力图和副凝血试验并不令人满意。只有静脉血栓形成的同位素检测能够证实特定预防治疗的效果;2)实现有效的预防治疗:术前和术后肝素治疗(改编自卡卡尔的方法)消除了临床意外情况,减少了同位素静脉血栓形成的数量,但可能会增加出血的发生率。

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