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[术后血栓栓塞:低剂量肝素钙的预防性应用]

[Postoperative thromboembolism: preventive use of calcium heparin in low doses].

作者信息

Di Laura I, Capellaro L, Giammarinaro A

出版信息

Minerva Med. 1985 Feb 11;76(5):153-61.

PMID:3974928
Abstract

The problem of post-operative thromboembolism is re-examined and the progress made in the prevention of venous stasis and hypercoagulability reviewed. The high incidence of asymptomatic phlebitic phenomena is noted and personal experience of the use of low doses of Calcium heparin in 415 patients undergoing various types of operation is reported. Eight patients had chronic duodenal ulcers. A notable reduction in the incidence of post-operative thromboembolism was confirmed. The value of this preventive method is thus demonstrated, as is the usefulness of analysing haemostatic balance in patients with one or more risk factors for thromboembolism in order to "personalize" the dosage and duration of treatment with Calcium heparin.

摘要

对术后血栓栓塞问题进行了重新审视,并回顾了在预防静脉淤滞和高凝状态方面取得的进展。注意到无症状静脉炎现象的高发生率,并报告了在415例接受各种手术的患者中使用低剂量肝素钙的个人经验。8例患者患有慢性十二指肠溃疡。证实术后血栓栓塞的发生率显著降低。因此证明了这种预防方法的价值,以及分析有一个或多个血栓栓塞危险因素的患者的止血平衡以“个性化”肝素钙治疗剂量和疗程的有用性。

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