Rzaev N M, Gasanov A R
Kardiologiia. 1989 Mar;29(3):56-9.
Current methods used for the prevention of vein thrombosis were evaluated with the help of radioisotopic investigation in 175 patients, aged 40 to 74 years, after extensive abdominal surgery. Deep vein thrombosis of the lower limbs was detected by radioisotopic investigation in 6% of the patients after preventive treatment with low-dose heparin, in 14% after treatment with rheopolyglucin, and in 16% after sequential external intermittent pneumatic compression of the lower extremities, versus 26% in the group of patients who had received no special preventive treatment. As shown by the clinical pattern, most cases of thrombosis were asymptomatic. Hemorrhagic complications are extremely rare where preventive medication is used properly.
在175例40至74岁接受广泛腹部手术的患者中,借助放射性同位素检查对当前用于预防静脉血栓形成的方法进行了评估。在接受小剂量肝素预防性治疗的患者中,放射性同位素检查发现6%的患者发生下肢深静脉血栓;接受右旋糖酐治疗的患者中,这一比例为14%;接受下肢顺序性体外间歇性气动压迫治疗的患者中,这一比例为16%。而在未接受特殊预防性治疗的患者组中,这一比例为26%。从临床症状来看,大多数血栓形成病例是无症状的。在正确使用预防性药物的情况下,出血并发症极为罕见。