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普通外科中深静脉血栓形成和肺栓塞的预防

[Prevention of deep venous thrombosis and pulmonary embolism in general surgery].

作者信息

Verstraete M

出版信息

Ann Med Interne (Paris). 1986;137(6):507-9.

PMID:2433980
Abstract

Among the various methods to diagnose deep venous thrombosis in the lower limbs, the radiofibrinogen uptake test has been mainly used in clinical studies. Physical means to accelerate venous return are of limited use and only in patients at a low thrombotic risk. Antivitamins K are efficient, but surgeons hesitate to use them because of the postoperative hemorrhagic risk. Dextran infusions are quite effective and without real risk of bleeding. The same holds for low dose heparin administered subcutaneously, particularly when combined with dihydroergotamine. Among the various anti-aggregating agents only aspirin may be effective in the prevention of venous thrombosis.

摘要

在诊断下肢深静脉血栓形成的各种方法中,放射性纤维蛋白原摄取试验主要用于临床研究。加速静脉回流的物理方法作用有限,仅适用于血栓形成风险较低的患者。维生素K拮抗剂有效,但由于术后出血风险,外科医生在使用时有所顾虑。输注右旋糖酐相当有效且无实际出血风险。皮下注射低剂量肝素亦是如此,尤其是与双氢麦角胺合用时。在各种抗聚集剂中,只有阿司匹林可能对预防静脉血栓形成有效。

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1
[Prevention of deep venous thrombosis and pulmonary embolism in general surgery].普通外科中深静脉血栓形成和肺栓塞的预防
Ann Med Interne (Paris). 1986;137(6):507-9.
2
[Current aspects of the prevention of venous thrombosis].[静脉血栓形成预防的当前方面]
Rev Prat. 1977 Apr 11;27(21):1293-300.
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The prevention of postoperative deep vein thrombosis and pulmonary embolism with low dose subcutaneous heparin and dextran.低剂量皮下注射肝素和右旋糖酐预防术后深静脉血栓形成和肺栓塞
Surg Gynecol Obstet. 1976 Dec;143(6):981-5.
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[Prevention of deep venous thrombosis and postoperative pulmonary embolisms (general, gynecological and orthopedic surgery)].[预防深静脉血栓形成及术后肺栓塞(普通外科、妇科和骨科手术)]
Ann Chir. 1992;46(4):290-6.
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[Prevention of postoperative deep vein thrombosis and pulmonary embolism by low-dose heparin injection or by dextran].
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Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin: Pulmonary Embolism Prevention (PEP) trial.低剂量阿司匹林预防肺栓塞和深静脉血栓形成:肺栓塞预防(PEP)试验
Lancet. 2000 Apr 15;355(9212):1295-302.
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Deep venous thrombosis and pulmonary emboli: etiology, medical treatment, and prophylaxis.深静脉血栓形成与肺栓塞:病因、药物治疗及预防
J Thorac Imaging. 1989 Oct;4(4):4-7. doi: 10.1097/00005382-198910000-00005.
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[Dextran versus subcutaneous heparin in the prevention of deep venous thrombosis (D.V.T.) after biliary surgery].[右旋糖酐与皮下注射肝素预防胆道手术后深静脉血栓形成的比较]
Rev Esp Enferm Apar Dig. 1988 Nov;74(5):521-4.
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[Routine measures in the prevention of postoperative thrombosis and embolism. Based on a multicentre trial of about 4000 patients with dextran or low-dose heparin prevention].[预防术后血栓形成和栓塞的常规措施。基于一项约4000例患者使用右旋糖酐或低剂量肝素预防的多中心试验]
Tidsskr Nor Laegeforen. 1980 Aug 10;100(22):1267-9.