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[血栓形成的预防。挪威的外科科室]

[Prevention of thrombosis. Surgical departments in Norway].

作者信息

Wiig J N, Lundblad R

出版信息

Tidsskr Nor Laegeforen. 1989 Sep 20;109(26):2648-50.

PMID:2814988
Abstract

Routine perioperative thrombo-embolic prophylaxis was studied by means of a questionnaire to departments of abdominal, orthopedic, urological and gynecological surgery. 171 departments in university, central and county hospitals answered, giving a response rate of 92%. It was found that 90% of the departments in all hospital categories used routine prophylaxis. This practice was most frequent in orthopedics and least frequent in urology. Dextran was preferred in all three hospital categories. Central and county hospitals also applied heparin and heparin/dihydroergotamin. Heparin was always given as 5,000 IU subcutaneously twice daily. Heparin/dihydroergotamin was equally often given as 2,500 IU as 5,000 IU twice daily, irrespective of the kind of surgery. Indications of thrombo-embolic prophylaxis varied within each surgical speciality. The prophylaxis regimen was chosen mostly on medical grounds. The convenience of the nurses was seldom and economic differences only infrequently considered of importance for the choice of prophylaxis regimen.

摘要

通过对腹部、骨科、泌尿外科和妇科手术科室进行问卷调查,研究了围手术期常规血栓栓塞预防措施。171个大学医院、中心医院和县级医院的科室进行了回复,回复率为92%。结果发现,所有医院类别的科室中有90%采用了常规预防措施。这种做法在骨科最为常见,在泌尿外科最为少见。在所有三类医院中,右旋糖酐是首选药物。中心医院和县级医院也应用肝素和肝素/双氢麦角胺。肝素总是以5000国际单位皮下注射,每日两次。肝素/双氢麦角胺每日两次,无论手术类型如何,给予2500国际单位和5000国际单位的频率相同。每个外科专科内血栓栓塞预防的指征各不相同。预防方案大多是基于医学依据选择的。很少考虑护士的便利性,在选择预防方案时,经济差异也很少被认为是重要因素。

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