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